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Superficial esophageal carcinoma: Surgical treatment and the results
Author(s) -
Kato Hoichi,
Tachimori Yuji,
Watanabe Hiroshi,
Yamaguchi Hajime,
Ishikawa Tsutomu,
Itabashi Masayuki
Publication year - 1990
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19901201)66:11<2319::aid-cncr2820661111>3.0.co;2-1
Subject(s) - submucosa , medicine , esophagectomy , lymphadenectomy , esophageal cancer , lymph node , carcinoma , esophagus , survival rate , surgery , lymph , cancer , gastroenterology , pathology
We report 92 patients treated with esophagectomy for superficial esophageal carcinoma (SEC; 9.1% of all resected esophageal cancers at our institution). the operative mortality rate was 5.4%. in 24 cases, cancer invasion was limited to the mucosa, and in 68 to the submucosa. Twenty‐three patients in the former group had no lymph node involvement, whereas 24 patients (35.3%) of the latter group had lymph node metastases. the 5‐year survival rate after surgery for patients with SEC limited to the mucosa was 83.5%, which was significantly better than that for carcinoma invading the submucosa (54.9%). No recurrent disease occurred in patients with lesions limited to the mucosa. in conclusion, an esophagectomy with wide lymphadenectomy is necessary to provide a better prognosis for SEC invading the submucosa, whereas a less extensive treatment may be considered for SEC limited to the mucosa.