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- Title
Surgical treatment of thoracic esophageal carcinoma directly invading the lung.
- Authors
Kato, Hoichi; Tachimori, Yuji; Watanabe, Hiroshi; Itabashi, Masayuki; Kato, H; Tachimori, Y; Watanabe, H; Itabashi, M
- Abstract
<bold>Background: </bold>The authors examined 63 patients with thoracic esophageal carcinoma directly invading the adjacent lung. Four of them had esophago-pulmonary fistulas. One patient received exploratory thoracotomy and exposure to radiation, and 62 underwent esophagectomy with mediastinal and abdominal lymph node dissection. A resection of the seized lung and the esophagus was performed in 39 patients (Group A), and 23 received esophagectomy with part of the tumor remaining intact (Group B).<bold>Methods: </bold>The results of treatment were compared between the two groups.<bold>Results: </bold>Operative blood loss, mortality, and complications in both groups showed no difference. The average number of dissected lymph nodes in Group A was significantly larger than that in Group B (P less than 0.01). Histologic examination revealed that 22 (56.4%) lesions in Group A invaded the pulmonary parenchyma, a finding that indicates the difficulty of gross diagnosis of tumor infiltration. Five-year survival rates for patients in Groups A and B were 21.1% and 8.7%, respectively. The survival curve for patients in Group A was significantly better than for those in Group B (P less than 0.05).<bold>Conclusions: </bold>Pulmonary resection and aggressive lymph node dissection are recommended for patients with esophageal carcinoma that invades the adjacent lung.
- Publication
Cancer (0008543X), 1992, Vol 70, Issue 6, p1457
- ISSN
0008-543X
- Publication type
journal article
- DOI
10.1002/1097-0142(19920915)70:6<1457::AID-CNCR2820700602>3.0.CO;2-3