Carcinoma of the esophagus

Lawler, Marion R.; Gobbel, Walter G.; Killen, Duncan A.; Daniel, Rollin A.

doi:10.1016/s0022-5223(19)42577-4

Cited by 36 publications

(5 citation statements)

References 8 publications

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“…Carcinoma of the upper third of the esophagus, the segment situated below the suprasternal notch and above the aortic arch, is being treated with radiotherapy in most patients, for this carcinoma has Presented at the XXVIIth Congress of the Soci6t6 Internationale de Chirurgie, Kyoto, Japan, September [3][4][5][6][7][8]1977.…”

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confidence: 99%

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Resection for carcinoma of the superior mediastinal segment of the esophagus

Ong

Lam

et al. 1978

World j. surg.

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During the past 13 years, 86 patients with carcinoma of the esophagus situated at the superior mediastinal segment were admitted and treated at the Queen Mary Hospital, Hong Kong. Only 17 of these patients underwent resection. The resection technique was based on what was described in 1957 by Waddell and Scannell and by Cauehoix and Binet. The whole of the esophagus was removed in each case and the reconstruction, using the stomach, was accomplished by anastomosing the fundus to the cricopharyngeus. In 1 patient an isolated jejunal segment was used in the esophagoplasty, while in another the colon was utilized. There were 3 postoperative deaths, 1 due to a gastrotracheal fistula from erosion by the tracheostomy tube, a second due to hemorrhage, and a third due to bronchopneumonia. Four patients are currently alive and well without evidence of cancer. The longest survivor has lived for 5 years and 3 months. Ten of the patients who were discharged from the hospital lived for from 2 to 15 months, with an average of 8.7 months. This compares favorably with the 6.9 months average survival reported by Procter in patients with carcinoma of the upper third of the esophagus who were treated by radiotherapy. While the mortality rate is still high, the results are encouraging and continued use of surgical treatment is certainly warranted.

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confidence: 99%

“…There was no 5-year survival. Lawler et al [4] subjected 6 patients to surgical extirpation with 3 surviving 1 year; of 22 patients who were irradiated, there was one 5-year survival. Because of the poor results of surgical management of such patients, radiotherapy has become the treatment of choice.…”

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confidence: 99%

Resection for carcinoma of the superior mediastinal segment of the esophagus

Ong

Lam

et al. 1978

World j. surg.

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“…Patients with resectable carcinoma of the thoracic esophagus have been rather infrequent, and the operative mortality rate has been high. In the series of Lawler et al [7] the resectability rate was 34% and the operative mortality rate was 32%. Younghusband and Aluwihare reported a resectability rate of 47% and an operative mortality rate of 16% [8].…”

Section: Discussionmentioning

confidence: 90%

“…The long-term survival rate after radical operation for esophageal carcinoma has been very low until recently. Reported 5-year survival rates have usually ranged from 0 to 15% [1,7,11]. In 1,586 patients collected by Sato [13], the 5-year survival rate was 14.0%.…”

Section: More Thanmentioning

confidence: 99%

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Follow‐up results after resection of thoracic esophageal carcinoma

1978

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During the past 14.5 years, we have treated 430 patients with carcinoma of the thoracic esophagus. The resection rate was 72% and the overall operative mortality rate was 16%. During the past 5 years, the operative mortality rate has been markedly reduced to 4.5%. The low operative mortality rate in recent years is the result of selection of the operative procedure according to the criteria that we have established for one-stage radical rese~ion. The overall 5year survival rate was 16.5%. Prophylactic postoperative irradiation improved long-term survival,:4n patients who underwent curative resection; their 5-year survival rate was 34.6%. Prophylactic irradiation was:especially effective in patients who did not have lymph node r~etastases. The 5year survival rate was 87.5% in these patients. The majority of long-term survivors were leading a normal life for their age.

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Lye corrosion carcinoma of the esophagus. A review of 63 cases

Appelqvist

Salmo

1980

Cancer

231

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Clinical material and the results of treatment of 63 esophageal lye corrosion carcinoma patients are presented below. The mean age of patients at lye ingestion was 6.2 years; the mean latent time between lye corrosion and esophageal carcinoma was 41 years. The later the lye was ingested the earlier carcinoma of the esophagus appeared. Eighty-four percent of carcinomas(all of which were of histologically squamous cell type) were found to be in the bronchial bifurcation area of the esophagus. Sixty-eight percent of lye corrosion carcinoma patients had been treated with resection or radiotherapy (over 4000 rads). Every tenth patient of whole material had surveved for over seven years. Both surgery and radiotherapy as practiced in our clinics had better survival rates than for previous esophageal carcinoma series.

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Carcinoma of the esophagus

Cited by 36 publications

References 8 publications

Resection for carcinoma of the superior mediastinal segment of the esophagus

Resection for carcinoma of the superior mediastinal segment of the esophagus

Follow‐up results after resection of thoracic esophageal carcinoma

Lye corrosion carcinoma of the esophagus. A review of 63 cases

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