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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Psychiatry. Jun 19, 2026; 16(6): 116379
Published online Jun 19, 2026. doi: 10.5498/wjp.v16.i6.116379
Unseen suffering: Addressing psychological distress in esophageal cancer with bone metastasis
Sidratul Muntaha Nizum, Mosammat Jannatul Mawa, Mohammad Shahangir Biswas
Mohammad Shahangir Biswas, Mosammat Jannatul Mawa, Sidratul Muntaha Nizum, Department of Biochemistry and Biotechnology, University of Science and Technology Chittagong, Khulshi 4202, Chattogram, Bangladesh
Author contributions: Biswas MS conceptualized and designed the research; Biswas MS, Mawa MJ and Nizum SM performed the literature search and wrote the original manuscript; Biswas MS edited the final manuscript; all authors have read and approved the final manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Corresponding author: Mohammad Shahangir Biswas, PhD, Associate Professor, Postdoc, Department of Biochemistry and Biotechnology, University of Science and Technology Chittagong, Zakir Hossain Road, Khulshi 4202, Chattogram, Bangladesh. bioshahangir@gmail.com
Received: November 10, 2025
Revised: November 21, 2025
Accepted: January 8, 2026
Published online: June 19, 2026
Processing time: 199 Days and 15.9 Hours
Core Tip

Core Tip: Esophageal cancer with bone metastases significantly affects both body and mind. Tumor growth and skeletal obstacles enhance pain and reliance, targeted therapies cause psychological and financial burden, and palliative treatments increase anticipatory anxiety. Multimodal regimens induce the greatest psychological distress, yet they also provide the best chance for rapid intervention. This article argues for culturally sensitive, system-adapted, and treatment-tailored psychological care as a significant element of cancer treatment, particularly in low- and middle-income countries, where resource constraints and structural disparities intensify patient distress.

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