Lymph node metastasis in thoracic esophageal carcinoma

Journal of Surgical Oncology - Tập 48 Số 2 - Trang 106-111 - 1991
Hiroyuki Kato1, Yuji Tachimori2, Hiroshi Watanabe2, Toshifumi Iizuka2, Shoji Terui3, Masayuki Itabashi4, Teruyuki Hirota4
1Department of Surgery, National Cancer Center Hospital, Tokyo, Japan.
2Departments of Surgery, National Cancer Center Hospital, Tokyo, Japan
3Departments of Head and Neck Surgery, National Cancer Center Hospital, Tokyo, Japan
4Departments of Pathology, National Cancer Center Hospital, Tokyo, Japan

Tóm tắt

AbstractSeventy‐nine patients with thoracic esophageal carcinoma underwent transthoracic esophagectomy with neck, mediastinal, and abdominal lymphadenectomy. The operative mortality rate was 3.8%. Fifty‐seven patients (72.2%) had metastasis in the lymph nodes. Though three patients with carcinoma classified as pTis had no positive nodes, nine (50.0%) of the patients with a pT1 carcinoma had positive nodes. The 5‐year survival rate for 57 patients with positive nodes was 33.6%. Twenty‐nine patients (36.7%) had positive nodes in the neck; 47 (59.5%), in the mediastinum; and 33 (41.8%), in the abdomen. Their 5‐year survival rates were 30.0%, 24.4%, and 38.4%, respectively. The differences between these rates were not statistically significant. These results indicate that the neck lymph nodes should be regarded as part of the regional lymph nodes and that esophagectomy with wide lymph node dissection improves the long‐term survival of patients with thoracic esophageal carcinoma.

Từ khóa


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Thông tin xuất bản

Journal of Surgical Oncology

Tập 48 Số 2

106-111

Thông tin tác giả