Esophageal Cancer

Personalised treatments designed to fight cancer while minimising side effects.

What is Esophageal Cancer?

Esophageal cancer begins in the esophagus, the muscular tube that carries food and liquids from the throat to the stomach. In Philippines, it is less common than gastric or colorectal cancer, but cases are steadily rising. The two main types are squamous cell carcinoma (more common in Asia, often linked to smoking, alcohol, and diet) and adenocarcinoma (linked to obesity and reflux disease).

How common is esophageal cancer in the Philippines?

Esophageal cancer is relatively uncommon in the Philippines compared with the country’s most frequently diagnosed cancers (such as breast, lung, colorectal, and liver cancer). (gco.iarc.who.int) 

According to the IARC Global Cancer Observatory (GLOBOCAN 2022), the Philippines had an estimated 188,976 new cancer cases across all cancer types in 2022. (gco.iarc.who.int) Esophageal cancer represents a small proportion of the overall cancer burden nationally. 

Globally, esophageal cancer remains a serious disease, with an estimated 511,054 new cases and 445,391 deaths in 2022.  

If you have symptoms such as difficulty swallowing or persistent unexplained weight loss, consult a qualified doctor for proper evaluation. 

What Are the Signs and Symptoms of Esophageal Cancer?

Patients may notice difficulty swallowing (especially solid foods), chest discomfort, unexplained weight loss, chronic cough or hoarseness, indigestion, or vomiting blood. Symptoms often appear late, making early detection important.

Screening for Esophageal Cancer

There is no routine national screening programme for esophageal cancer in Philippines. However, screening may be recommended for high-risk groups:

  • People with a history of heavy smoking, alcohol use, or betel quid chewing
  • Individuals with long-standing acid reflux, Barrett’s esophagus, or obesity
  • Patients with a family history of esophageal cancer

For these groups, upper endoscopy (esophagogastroduodenoscopy or EGD) is the most reliable method to detect early changes or precancerous conditions. In some cases, advanced imaging techniques and biopsy may be used to confirm findings.

How Esophageal Cancer is Diagnosed?

Diagnosis typically involves endoscopy with biopsy, barium swallow X-rays, CT or PET scans, and endoscopic ultrasound to determine stage and spread.

What Are the Causes and Risk Factors of Esophageal Cancer?

Risk factors include smoking, heavy alcohol consumption, diets high in preserved or salty foods, long-term acid reflux, obesity, and Barrett’s esophagus. In Philippines, tobacco and betel quid chewing remain important contributors.

What Are the Types of Esophageal Cancer?

What Are the Stages of Esophageal Cancer?

Stage I

Cancer confined to the inner lining

Spread into the muscle wall and possibly nearby lymph nodes

Deeper invasion and wider lymph node involvement

Cancer has spread to distant organs (liver, lung, bone)

What Are Esophageal Cancer Treatments?

Treatment depends on stage, type, and patient health. Options include:

Surgery

(Esophagectomy, minimally invasive or open) for localized disease.

Radiotherapy

(External beam, proton beam, or palliative) to shrink tumours or relieve symptoms.

Targeted therapy

For patients with specific biomarkers.

Immunotherapy

For patients with specific biomarkers.

In Philippines, treatment is available at major cancer centres, with modern radiotherapy, advanced surgery, and systemic therapy options.

How common is esophageal cancer in the Philippines?

Esophageal cancer is relatively uncommon in the Philippines compared with the country’s most frequently diagnosed cancers (such as breast, lung, colorectal, and liver cancer). (gco.iarc.who.int) 

According to the IARC Global Cancer Observatory (GLOBOCAN 2022), the Philippines had an estimated 188,976 new cancer cases across all cancer types in 2022. (gco.iarc.who.int) Esophageal cancer represents a small proportion of the overall cancer burden nationally. 

Globally, esophageal cancer remains a serious disease, with an estimated 511,054 new cases and 445,391 deaths in 2022.  

If you have symptoms such as difficulty swallowing or persistent unexplained weight loss, consult a qualified doctor for proper evaluation. 

Meet Our Doctors

In Philippines, our team brings together oncologists, upper GI surgeons, radiation specialists, radiologists, pathologists, oncology nurses and allied health experts. They work closely to design a treatment plan tailored to each patient’s needs.

Dr. Angelo Miguel M. Realina
Palliative Care Specialist | Interventional Pain Management Specialist
Dr. Arthur Jason S. Go
Medical Oncologist
Dr. Beverly Ann P. Pineda
Medical Oncologist 
Dr. Carlo Ruperto P. Aguilar
Radiation Oncologist
Dr. Carlos Joseph T. Panaligan Jr.
Consultant Anesthesiologist
Dr. Claudine Yvette S. Gulapa
Anesthesiologist
Dr. Gonzalo C. Banuelos, Jr.
Radiation Oncologist
Dr. Jason King D. Talao
Medical Oncologist 
Dr. Jerickson Abbie S. Flores
Radiation Oncologist
Dr. Joel R. Tayo
Medical Oncologist
Dr. Jose Enrique Y. Montoya
Medical Oncologist
Dr. Karl Jeremy B. Lo
Radiation Oncologist
Dra. Kristine Anne B. Monte
Internal Medicine Specialist
Dr. Marwin M. Manalo
Medical Oncologist
Dr. Misael C. Cruz
Radiation Oncologist
Dr. Noel S. Chua
Medical Oncologist
Dr. Paulo S. Tioleco
Medical Oncologist
Dra. Rosalina P. Tongol
Internal Medicine