On January 9th 2012 my husband was diagnosed with esophageal cancer. Following numerous tests he had an Ivor lewis keyhole op which resulted in the addition of a good part of his stomach also being removed as the cancer had spread further than originally diagnosed. It has been a struggle to say the least, he is a stubborn man and insisted on leaving hospital before he should have, then had 3 bouts of pneumonia and then a further op for adhesion's to the intestines about 4 months later which almost led to his death. As the diagnosis for the latter took so long he lost a lot of weight and could hardly hold his head up when he was discharged from the hospital. He isn't one for sitting around and gradually got himself back into full time work driving an HGV around the country. Unfortunately this year we have had symptoms of its return which has resulted in the diagnosis of a tumour at the junction of the esophagus which namely a `adenosquamous carcinoma' which according to google is difficult to diagnose because of its nature and quite rare. Unfortunately I feel that he hasn't helped himself , my opinion is that his lifestyle contributed towards his original diagnosis which didn't improve. I cant help but be puzzled as to why he didn't value his life enough to change his ways and aim to improve his health. Now he is informed he needs to be tube fed to bulk himself up prior to chemoradio therapy, unfortunately he has refused that but will proceed with chemo very soon. Im unsure of the outcome but know that its going to be another struggle, sometimes its difficult to be positive.