Publication Name	World Journal of Psychiatry
Manuscript ID	116379
Country	Bangladesh

Category	Oncology
Manuscript Type	Editorial
Article Title	Unseen suffering: Addressing psychological distress in esophageal cancer with bone metastasis
Manuscript Source	Invited Manuscript
All Author List	Mohammad Shahangir Biswas, Mosammat Jannatul Mawa and Sidratul Muntaha Nizum
Funding Agency and Grant Number
Corresponding Author	Mohammad Shahangir Biswas, Associate Professor, PhD, Postdoc, Department of Biochemistry and Biotechnology, University of Science and Technology Chittagong, Zakir Hossain Road, Khulshi 4202, Chattogram, Bangladesh. bioshahangir@gmail.com
Key Words	Esophageal cancer; Bone metastasis; Multidisciplinary team; High-sensitivity C-reactive protein; Depression
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.
Citation	Biswas MS, Mawa MJ, Nizum SM. Unseen suffering: Addressing psychological distress in esophageal cancer with bone metastasis. World J Psychiatry 2026; In press

Received	2025-11-10 05:05
Peer-Review Started	2025-11-10 05:05
First Decision by Editorial Office Director	2025-11-19 08:58
Return for Revision	2025-11-19 08:58
Revised	2025-11-21 19:42
Publication Fee Transferred
Second Decision by Editor	2026-01-08 02:47
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-01-08 06:34
Articles in Press	2026-01-08 06:34
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2220-3206 (online)
Open Access	This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
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