What are the symptoms of potential cancer?
Patient: I am a 5o yrs old man. Since I have a history of cancer in my family members  [my mother died of Gall bladder cancer at the age of 65 yrs and now my elder brother (55 Yrs) is having stomach cancer], I was advised endoscopy. The endoscopy report dated 7.10.10 suggests in the impression three things – (a) tongue like projection seen proximal to Z line in esophagus, Sample taken and sent for biopsy to rule out Barret’s Esophagus, (b) mild hiatal hernia, and (c) GERD. But I don’t have symptom of stomach pain/ acidity at present.  Two years back  (first time) and six months back (second time) I had acute stomach pain. USG done (in Feb’10, June’10 and Aug’10) indicated gall stone, for which I took ursodil 300 mg twice daily, along with pantocid, for 4 months, without any improvement. Now I have stopped medication for past one month and made up my mind for surgical removal of gall bladder. At present I am taking medication for cholesterol ( Atorva 10 mg). I don’t have any symptom of acidity or heart burning. Sometimes, occasionally, I have acidity after reach food.  In 1998, I had hear burn and hiccup problems. After endoscopy, I was diagnosed as having distal esophagitis (there was multiple superficial ulcerations in the lower  1/3rd of esophagus. It was treated and I was OK within 1.5 months of medication. I am worried about the findings of the current endoscopy. Please guide me how to go about it. Can the tongue like projections be cured by medication? The local doctor has prescribed Nexpro tablet 40 mg once daily, which I have not started yet. I want to take a second opinion before starting the medicine for long period. The local doctor has also advised for repeat endoscopy after 3 months. I want to know whether, the tongue like projection in the esophagus can be cured by medication.  Please guide me as to how I should handle my current health issues relating to my endoscopy report. Doctor: Hello dear. I have gone through your details. However, it is very difficult to comment on so called tongue like projection without seeing the endoscopic films. The final result will of course depend on the biopsy reports. So you need not to be worry and wait for the report. Thanksregards