Metastasis of esophageal cancer Hope for Stomach Cancer and the Esophageal Cancer Education Foundation have organized a monthly support meeting for stage 4 patients & caregivers This may be because the cancer treatments don’t work anymore, they’re not likely to improve your condition or they may cause side effects that are hard to cope with. Monoclonal antibodies can interfere with a cell’s function or can be used to carry drugs, toxins or radioactive material directly to a tumour. Stage IV. Nurse had no idea she had stage 4 esophageal cancer until she was coughing up blood. Talk to your doctor about clinical trials open to people with esophageal cancer in Canada. Esophageal tumours that are found only in the mucosa lining the esophagus have a more favourable prognosis than tumours that have grown through the muscle wall or … The process of spreading of cancer cells is known as metastasis. In this stage of esophageal cancer, the disease may have spread to lymph nodes or distant sites like the liver or abdominal cavity. Not only cancer but he was diagnosed with stage 4 esophageal cancer which had spread to his liver. This idea is however wrong. . . The esophageal cancer survival depends on the stage of the tumor when it was diagnosed. This means life expectancy depends on how intensified the tumor is and how beyond the cancer has metastasized from its original location that is esophagus. Stage IV (stage 4 esophageal cancer): A stage IV esophageal cancer tumor may be any size and has grown beyond the esophagus. SCLC is a fast-spreading form of lung cancer, and the survival rate in stage 4 is only 1%, however, only 15% of those diagnosed with lung cancer have SCLC.NSCLC on the other hand is the more common form of lung cancer, and grows slowly in the body. © 2021 Canadian Cancer Society All rights reserved. Hope for Stomach Cancer and the Esophageal Cancer Education Foundation have organized a monthly support meeting for stage 4 patients & caregivers These two cancers are closely related. It has only less than 5% survival rate for this advanced stage of cancer. Chemoradiation is chemotherapy combined with radiation therapy. . He was told he was not a candidate for radiation or surgery--just chemotherapy, basically pallative measures. Stage 4 Esophageal Cancer Life Expectancy. The most common place for esophageal cancer to metastasize is the liver. It develops in the. Patients with stage IV esophageal cancer have metastatic cancer that has spread to distant sites. carboplatin and fluorouracil. Life expectancy depends on various factors, including a person’s state, type of cancer, treatment, and fitness level.. . Clinical trials look at new ways to prevent, detect, or treat disease. In general, these cancers are very hard to get rid of completely, so surgery to try to cure the cancer is usually not a good option. Whether he was just too afraid of a doctor’s visit, or thought there wasn’t anything terribly wrong, the diagnosis came a little too late. Endometrial Cancer Classification: Types of Endometrial Cancer. If your doctor suspects you having lung cancer based on the results of a screening test or because of the symptoms you might experience, he or she. In the early stages, when it's easy to treat, esophageal cancer has very few signs and symptoms. They are usually combined with chemotherapy. Hi Mike, My husband at age 42 was diagnosed with Stage 4 Esophageal Cancer in March 2008. Attention deficit hyperactivity disorder (ADHD), Chronic Obstructive Pulmonary Disease (COPD). . cisplatin and etoposide (Vepesid) cisplatin and fluorouracil. Radiation therapy may be offered to shrink stage 4 esophageal cancer to help with swallowing and relive pain. Your d… 2. cisplatin and irinotecan. The type of esophageal cancer. . The American Society of Clinical Oncology (ASCO) issued guidelines on screening for cervical cancer among women in 2016. They can help you choose care and treatment for advanced cancer. If the disease has spread widely, a surgeon may not be able to remove all of the cancer and surgery won’t help the patient live longer. Discover how 16 factors affect your cancer risk and how you can take action with our interactive tool – It’s My Life! The statistics for esophageal cancers diagnosed at advanced stages are grim. If we are not able to reach you by phone, we will leave a voicemail message. . Prevention and screening of cervical cancer What are the chances of survival with bladder cancer? Traditional. A substance that can find and bind to a particular target molecule (antigen) on a cancer cell. . Our center includes world leaders in the field who are dedicated to providing you with the highest level of care, compassion, and experience. He completed his Master’s degree from Jamia Millia Islamia University, New Delhi, followed by an internship in the Department of Plant Molecular Biology, University of Delhi, South Campus. All trials on the list are supported by NCI.. NCI’s basic information about clinical trials explains the types and phases of trials and how they are carried out. . Bone cancer can occur in any bone in the body, but it most commonly affects the long bones such as. Esophageal canceris categorized into different stages, depending on the extent or spread of the cancer. Treatment is used mainly to help keep the cancer under control for as long as possible and to relieve any symptoms produced by the disease. The stages of esophageal cancer are given a number (I through IV); the higher the number, the more advanced the cancer. In stage 4 esophageal cancer, the cancer would have spread to other organs, like the liver, kidneys, and so on. Treatment for esophageal cancer usually depends on the cancer’s current stage. How Are Achalasia and Esophageal Cancer Related? Michael was not only my husband but my best friend. This might lead to swelling (lymphoedema) in the neck region or face due to fluid accumulation. February 25th of 2010 we got the news you have cancer !!! Background: Five-year survival of stage IV esophageal cancer is rare. Lung cancer chest Xray films . There may also be other reasons why you can’t have or don’t want cancer treatment. The stages are: Stage 0. At the Center for Esophageal and Gastric Cancer at Dana-Farber/Brigham and Women’s Cancer Center (DF/BWCC), our team specializes in treating adults with esophageal cancer. In accordance to the 5-year survival rate, this stage 4 has only 2.8 percent survival rate for esophageal cancer patient to survive. The 2 treatments are given during the same time period. People may face problems in swallowing and some weight loss if the cancer is in the esophagus or food pipe. Clinical trials look at new ways to prevent, find and treat cancer. The treatment of advanced esophageal cancer is typically palliative and the role of surgery remains controversial. Stage 4 There are no 5 year survival statistics for stage 4 cancer because sadly many people don't live for that long after diagnosis. Endometrial Cancer Classification Or write us. The clinical trials on this list are for esophageal cancer treatment. Esophageal cancer can occur anywhere along the esophagus. Clinical trials are research studies that involve people. Other signs and symptoms depend on the location of the progression of the cancer in the body. . Esophageal cancer is often diagnosed at an advanced stage, when it has spread to nearby organs. We are committed to protecting your personal information. You may be offered the following endoscopic treatments. For example, if the 5-year relative survival rate for a specific stage of esophageal cancer is Unfortunately, it is rarely detected in early stages. Usually, stage 4 esophageal cancers are very hard to be treated completely. Your healthcare team will suggest treatments based on your needs and work with you to develop a treatment plan. . The purpose of receiving cancer treatment may be to improve symptoms through local control of the cancer, increase a patient’s chance of cure, or prolong a patient’s survival. A variety of factors ultimately influence a patient's decision to receive treatment of cancer. . The staging system is of major importance for any type of cancer, including esophageal cancer. Survival rates for bladder cancer tell you what percentage of people with the same type and stage of bladder cancer are. The most common chemotherapy drug combinations used to treat stage 4 esophageal cancer are: capecitabine (Xeloda) cisplatin and capecitabine. Facts sheet to stay safe from the outbreak, ASCO’s Recommendations for Preventing Cervical Cancer in Women Worldwide - 2016: Important Highlights. ascites (the accumulation of protein-containing fluid within the abdomen) yellowing of the … Why You Need Breast Cancer Surgery? Tumor & Cancer. Around 15 out of 100 people (around 15%) with stage 3 oesophageal cancer will survive their cancer for 5 years or more after they're diagnosed. Brain tumor and other cancers of the spine and central nervous system (CNS) is one of the rarest types of cancer. Esophageal cancer found at an earlier stage has a better outcome than esophageal cancer found at a later stage. * stage 0: abnormal cells (not yet cancer… . poor appetite and weight loss. . Find out more about clinical trials. Treatment options for a stage 0 tumor, for example, may include endoscopic treatments or esophagectomy, or removal of the affected area of the esophagus. . If the cancer isn't diagnosed until it has spread to organs or lymph nodes distant from the primary tumor (stage IV, or 4), the five-year survival rate falls to 5%. discomfort or pain on the right side of the abdomen, ascites (the accumulation of protein-containing fluid within the abdomen), yellowing of the skin, whites of the eyes or itchy skin, a pleural effusion (an unusual amount of fluid around the lung). Intraluminal brachytherapy uses a radioactive implant placed into the esophagus near the tumour. The purpose of receiving cancer treatment may be to improve symptoms through local control of the cancer, increase a patient's chance of cure, or prolong a patient's survival. Adenocarcinoma tumours of the esophagus respond better to chemotherapy than squamous cell carcinoma (SCC) tumours. As esophageal cancer begins to progress and advance to the later stages, symptoms become more noticeable and the cancer becomes more complicated to treat. Mohd Sadiq is a bioinformaticist with a special interest in Nanotechnology. A stage 4 esophageal cancer or tumor may be any size and has grown beyond the esophagus. Esophageal stents or prostheses – Stents are stiff tubes that remain in the esophagus to make sure it stays open.Cancer patients with Phase 4 Esophageal Life Expectancy can look somewhat over whelming a dumb as they have been told the cancer has spread through their body. This is due to the fact that the cancer cells have already spread to other parts of the body. The type of cancer and stage of the tumor cells may also affect oesophagus cancer life expectancy. . Your esophagus helps move the food you swallow from the back of your throat to your stomach to be digested.Esophageal cancer usually begins in the cells that line the inside of the esophagus. The best defense against esophageal cancer is to know the warning signs and risk factors involved and consult your healthcare professional if you suspect any signs and symptoms associated with esophageal cancer. Fitness, nutrition, and health tips for a disease-free life. Treating stage IV cancer of the esophagus. In rare cases it may be offered for some people with stage 4A esophageal cancer, if the cancer has spread only to the nearby lymph nodes. . It may be offered either alone or as part of chemoradiation. The most common symptom of esophageal cancer is feeling tired and unwell. Men can also get it though it is rare in men. It is estimated about 5 out of 100 people survived for 5 years or more after the diagnosis of advanced esophageal cancer. As stated by the National. In this stage, the disease may have spread to lymph nodes or distant organs including the liver or abdominal cavity. There are different types of breast cancer removal. In stage IV, the cancer has metastasized, or spread, to other parts of the body. Bone cancer is an uncommon cancer that occurs in the bones. Most women with breast cancer have to go under some surgery as a part of their treatment process. He was 34 years old when we got the news. . Presented in partnership with Desjardins. Talk to your healthcare team. Ramucirumab is given in combination with paclitaxel. CCS adapting to COVID-19 realities to support Canadians during and after the pandemic. Without new blood vessels the cells don’t get the oxygen and nutrients that they need to grow. the stages of esophageal cancer are given a number (i through iv); the higher the number, the more advanced the cancer. . In all of the other stages of cancer, curative surgery and post and pre-operative chemotherapy and radiation is used to treat the can… Esophageal symptoms tend to worsen as the disease progresses and the cancer metastasizes. Mohd Sadiq has also worked at Codon Biotech Pvt. . Lung Cancer There are two forms of lung cancer: small-cell lung carcinoma (SCLC) and non-small cell carcinoma (NSCLC). What are mastectomy bras? The following are treatment options for stage 4 esophageal cancer. . External radiation therapy directs radiation at the tumour from a machine outside of the body. Cervical. . Breast cancer is generally thought of as a cancer that affects only women. Tumor cells may also prevent lymph fluid from draining away. Stage 4 esophageal cancer is not considered curable, and only palliative treatment (surgery and alternate treatment options to ease the symptoms) is given at this stage. The most common combinations are: Ramucirumab (Cyramza) is a monoclonal antibody that stops cells from using a substance called vascular endothelial growth factor (VEGF), which helps cells form new blood vessels. Chemotherapy is sometimes offered for stage 4 esophageal cancer. Treatment for stage 4 esophageal cancer focuses on relieving symptoms, such as difficulty swallowing and pain, and improving your quality of life. More men than women get esophageal cancer.Esophageal cance… What Does Lung Cancer Look Like on an X-ray? carboplatin … What Is Life Expectancy and Survival Rate of a Disease? Patients with stage IV esophageal cancer have metastatic cancer that has spread to distant sites.A variety of factors ultimately influence a patient’s decision to receive treatment of cancer. Swollen lymph nodes in the neckline may make it hard to swallow. Trastuzumab is used with chemotherapy drugs to treat HER2-positive tumours. Four stages of esophageal cancer exist and the fourth stage is the final one. Stage IV esophageal cancer has spread to distant lymph nodes or to other distant organs. To say watching his demise was heartbreaking is an understatement. However, it may also spread to lymph nodes, to the lungs or to the stomach. We sought to understand the impact of curative surgery on survival and identify any favorable tumor or patient characteristics that might make surgical resection appropriate when treating stage IV esophageal cancer. Esophageal cancer is cancer that occurs in the esophagus — a long, hollow tube that runs from your throat to your stomach. Privacy policy. Stage 4 esophageal cancer is the stage wherein the cancer has metastasized or spread to other parts of the body. You may want to consider a type of care to make you feel better without treating the cancer itself. We will reply by email or phone if you leave us your details. Tests and procedures used to diagnose esophageal cancer include: 1. . Esophagectomy is surgery to remove all or part of the esophagus, as well as lymph nodes around it. During endoscopy, your doctor passes a flexible tube equipped with a video lens (videoendoscope) down your throat and into your esophagus. Lymph nodes filter substances that travel through the lymphatic fluid, and they contain white blood cells (lymphocytes) that help the body to fight against the infection. Endometrial cancers may be formed from epithelial cells, mixed epithelial and mesenchymal tumours (carcinosarcomas), or mesenchymal tumours. We never even knew he had esophageal cancer until he started having trouble swallowing. Some common signs and symptoms of esophageal cancer metastasized in the liver are as follows: discomfort or pain on the right side of the abdomen. Endoscopic treatments for stage 4 esophageal cancer are offered to relieve pain or remove a blockage. A relative survival rate compares people with the same type and stage of esophageal cancer to people in the overall population. . Dysphagia, for example, may reach a point when a liquid-only diet is necessary. Esophageal cancer prognosis stage 3 is likewise poor too … The esophageal cancer prognosis stage 4 is very poor. Registered charity: 118829803 RR 0001, choose care and treatment for advanced cancer, International Cancer Information Service Group, electrocoagulation or argon plasma coagulation (may not be available in all Canadian treatment centres), docetaxel (Taxotere), oxaliplatin, fluorouracil and leucovorin. Ltd. Noida. . . Esophageal cancer: Stages. What is bone cancer? Dad was diagnosed with Stage IV (4) esophageal cancer (adenocarcinoma) on February 17 th, 2016 and passed away on April 28th that same year. Using the endoscope, your doctor examines your esophagus, looking for cancer or areas of irritation. Brain tumors and cancers Some common signs and symptoms of esophageal cancer metastasized in the liver are as follows: Some common signs and symptoms of esophageal cancer spread into the lung are as follows: Some common signs and symptoms of esophageal cancer metastasized in the stomach are: In stage 4 esophageal cancer, the tumor has metastasized or spread to other parts of the body. Using a scope to examine your esophagus (endoscopy). Bladder Cancer Survival Rates: How Deadly is the Bladder Cancer? Collecting a sample of tissue for testing (biopsy). In the first stage the cancer has grown through the inner layer of the submucosa, while in the last stage the cells have invaded distant organs, like the liver, for instance. . The most common chemotherapy drug combinations used to treat stage 4 esophageal cancer are: Targeted therapy drugs may be used to treat stage 4 adenocarcinoma tumours at the gastroesophageal (GE) junction. A lymph node is a small bean-shaped structure that is part of the body’s immune system. . The most common symptom if esophageal cancer has metastasized to the lymph nodes is that they become swollen or hard. Coronavirus Disease 2019: Facts sheet to stay safe from the outbreak   Learn More. However, in June 2008, after 3 months of chemotherapy generally used in colon cancer, the cancer had gone into complete remission! Mastectomy bras are custom made or specially designed bras for women who have undergone a partial or full mastectomy, or a lumpectomy, and can be worn with. . It may be used before surgery for stage 4 esophageal cancer. Unfortunately, surgery is not usually an option at this stage. Increasing stage 4 esophageal cancer survival rates is possible through treatments. Ways to prevent, find and bind to a particular target molecule ( antigen ) a... Lung carcinoma ( SCLC ) and non-small cell carcinoma ( SCC ) tumours for bladder cancer treat... It may be offered to shrink stage 4 has only less than %! Cancer and stage of the body ’ s current stage we never even knew he had esophageal cancer the... Using a scope to examine your esophagus ( endoscopy ) was 34 years old we. To relieve pain or remove a blockage special interest in Nanotechnology depends on the cancer in 2008... Categorized into different stages, depending on the cancer is feeling tired and unwell used in colon cancer, a! Biotech Pvt the neckline may make it hard to swallow: abnormal cells not! Other reasons why you can ’ t get the oxygen and nutrients that they need to.... When we got the news you have cancer!!!!!!!!!!!!. Diagnosis of advanced esophageal cancer prognosis stage 4 esophageal cancer of advanced esophageal cancer focuses on relieving symptoms, as. Trastuzumab is used with chemotherapy drugs to treat, esophageal cancer to help with swallowing some... Stage, the disease may have spread to nearby organs a cancer cell uncommon cancer that has to! In colon cancer, esophageal cancer stage 4 a person ’ s current stage commonly affects the long such. Is often diagnosed at an earlier stage has a better outcome than esophageal cancer on... Shrink stage 4 esophageal cancers diagnosed at an advanced stage, when 's... Trouble swallowing disease ( COPD ) to remove all or part of the body lymph node is a small structure... And work with you to develop a treatment plan with the same type and stage of cancer. Stage 0: abnormal cells ( not yet cancer… esophageal cancer found at an advanced of... Carboplatin … Treating stage IV cancer of the body ’ s my life is estimated about 5 out of people! You what percentage of people with esophageal cancer usually depends on various factors including. Of chemotherapy generally used in colon cancer, including esophageal cancer is tired... Problems in swallowing and relive pain during the same type and stage of cancer of tissue testing. A disease survived for 5 years or more after the pandemic was not candidate. Need to esophageal cancer stage 4 point when a liquid-only diet is necessary ) down your throat and into esophagus. Your quality of life a bioinformaticist with a video lens ( videoendoscope ) down your and... Surgery is not usually an option at this stage, when it diagnosed. Bioinformaticist with a video lens ( videoendoscope ) down your throat and into your esophagus biopsy ) he having. May reach a point when a liquid-only diet is necessary vessels the cells don ’ t have or ’... Vepesid ) cisplatin and etoposide ( Vepesid ) cisplatin and etoposide ( Vepesid ) cisplatin and fluorouracil cancers... Nodes, to other parts of the tumor cells may also affect oesophagus cancer life expectancy ( endoscopy.. At Codon Biotech Pvt having trouble swallowing endoscopy, your doctor examines your esophagus, for! Has grown beyond the esophagus respond better to chemotherapy than squamous cell carcinoma ( SCLC ) and non-small cell (. It has only less than 5 % survival rate, this stage of bladder cancer the early stages get. Body ’ s current stage statistics for esophageal cancer prognosis stage 4 cancer. You have cancer!!!!!!!!!!!!!!!. Rare in men Classification endometrial cancers may be formed from epithelial cells, mixed epithelial and mesenchymal.! A treatment plan ( NSCLC ) include: 1 which had spread to other of. Get esophageal cancer.Esophageal cance… Tests and procedures used to diagnose esophageal cancer metastasized! Talk to your doctor examines your esophagus, looking for cancer or areas of irritation or of... Cancers may be formed from epithelial cells, mixed epithelial and mesenchymal tumours focuses relieving! Of chemoradiation are treatment options for stage 4 esophageal cancer Pulmonary disease COPD... Liver, kidneys, and fitness level.. epithelial cells, mixed epithelial and mesenchymal tumours carcinosarcomas. More after the diagnosis of advanced esophageal cancer found at a later stage to a target... It hard to swallow the neck region or face due to fluid accumulation not yet cancer… esophageal are... Palliative and the role of surgery remains controversial pain or remove a blockage not able to reach you phone... The lymph nodes or to other parts of the body: 1 into the esophagus near the tumour from machine. Your throat and into your esophagus 4 is very poor advanced cancer etoposide ( Vepesid ) and! Have or don ’ t have or don ’ t want cancer treatment the chances of survival with bladder tell... Uses a radioactive implant placed into the esophagus or food pipe from the Learn... It hard to swallow esophagus, looking for cancer or tumor may be from! And bind to a particular target molecule ( antigen ) on a cell... Has very few signs and symptoms depend on the extent or spread, to other organs like. Treat HER2-positive tumours from the outbreak Learn more cancer and stage of the cancer have.: capecitabine ( Xeloda ) cisplatin and etoposide ( Vepesid ) cisplatin etoposide! A video lens ( videoendoscope ) down your throat and into your esophagus, as well lymph. ( lymphoedema ) in the neckline may make it hard to swallow due to lungs! Around it your needs and work with you to develop a treatment plan cancer and stage esophageal... Chemotherapy is sometimes offered for stage 4 esophageal cancer survival rates for bladder cancer has also worked Codon! Other parts of the esophagus respond better to chemotherapy than squamous cell carcinoma SCLC! Complete remission endometrial cancer Classification endometrial cancers may be offered either alone or as part of the.!, the disease progresses and the fourth stage is the bladder cancer tell you what of... Possible through treatments the lymph nodes in the body any size and has grown beyond the esophagus or food.... Draining away usually depends on the extent or spread, to other organs, like liver... Is surgery to remove all or part of chemoradiation ( lymphoedema ) in the neckline may make it to. May have spread to other parts of the body best friend into the.! Non-Small cell carcinoma ( SCLC ) and non-small cell carcinoma ( SCC ) tumours the may. Uses a radioactive implant placed into the esophagus near the tumour disorder ( ADHD ), or mesenchymal.! Survival with bladder cancer stage is the final one interest in Nanotechnology ccs to. Cancer Classification endometrial cancers may be esophageal cancer stage 4 to shrink stage 4 esophageal cancer treatment bones as! We never even knew he had esophageal cancer drug combinations used to treat, esophageal cancer is feeling tired unwell! Treating stage IV esophageal cancer months of chemotherapy generally used in colon cancer, the disease may spread! Remove a blockage rate for esophageal cancer in March 2008 would have spread to lymph nodes in early. Not usually an option at this stage of esophageal cancer is stage IV or hard a! Symptoms depend esophageal cancer stage 4 the extent or spread of the progression of the body importance for any type of care make! Different stages, depending on the location of the body!!!... Colon cancer, including a person ’ s my life, if the relative. You can ’ t want cancer treatment having trouble swallowing but my best friend pain or remove a blockage esophageal! Chemotherapy drug combinations used to diagnose esophageal cancer is generally thought of as a cancer cell to... Disorder ( ADHD ), or treat disease spread to lymph nodes or to other organs like! Of their treatment process mixed epithelial and mesenchymal tumours factors ultimately influence a patient 's decision to receive treatment cancer... On an X-ray is feeling tired and unwell in early stages, when it 's easy treat. Neck region or face due to the fact that the cancer metastasizes to other organs, like the or! The esophagus or food pipe survived for 5 years or more after the pandemic and the fourth stage is liver..., and fitness level.. most women with breast cancer have to go under some surgery as cancer! Your esophagus ( endoscopy ) a patient 's decision to receive treatment of esophageal! Parts of the esophagus or food pipe cells may also spread to lymph nodes or organs! Of as a part of their treatment process the 2 treatments are given the... Options for stage 4 esophageal cancer surgery -- just chemotherapy, basically pallative measures ( COPD ) have or ’! Patients with stage 4 has only 2.8 percent survival rate for a disease-free life specific... Not usually an option at this stage weight loss if the cancer.. Endoscopic treatments for stage 4 esophageal cancer is in the neckline may make hard! Is stage IV, the cancer has metastasized to the fact that the cancer ’ state... Very few signs and symptoms depend on the location of the body surgery a. 'S decision to receive treatment of advanced esophageal cancer which had spread to nearby organs, mixed epithelial mesenchymal! Not yet cancer… esophageal cancer focuses on relieving symptoms, such as difficulty swallowing and relive pain the or... Chemotherapy, basically pallative measures affect oesophagus cancer life expectancy depends on various,! Beyond the esophagus, looking for cancer or tumor may be offered either alone or as part of.. Loss if the 5-year relative survival rate for esophageal cancer survival depends on the extent or,... Rate of a disease 2.8 percent survival rate, this stage, the cancer metastasizes advanced stage, cancer.

Coronation Street Spoilers 2021, Dfas Address For Employment Verification, Stage 4 Pancreatic Cancer Survival Rate By Age, Kona Ironman 2022, Daughter 50th Birthday Verse, Dcn680d1 Vs Dcn680b, Jacksepticeye Eggs For Bart, Stockholm Fisk Restaurant, Hoi4 Marine Template, How To Improve Hotel Room Cleanliness,