Surgical management of carcinoma of the cervical esophagus

Abstract

The choice of free jejunal transfer or gastric pull-up for reconstruction after surgical resection of cervical esophageal carcinoma depends on the degree of tumor extension. Adverse factors affecting survival should be considered when candidates for the surgery are selected.

Clinical efficacy and failure pattern in patients with cervical esophageal cancer treated with definitive chemoradiotherapy

“…The prognosis of CEC is poor, which could be related to the delayed diagnosis and abundant lymphatic drainage of the cervical esophagus. Due to the unique anatomical position between the lower border of the cricoid cartilage and the thoracic esophagus inlet, CEC easily and frequently invades upwards to the hypopharynx and downwards to the thoracic esophagus [2].…”

Early and long-term morbidity after minimally invasive total laryngo-pharyngo-esophagectomy with gastric pull-up reconstruction via thoracoscopy, laparoscopy and cervical incision

“…Carcinoma of the cervical esophagus has a poor prognosis, with 3-and 5-year survival rates reported to range from 18 to 35.4% and from 12 to 33%, respectively [7].…”

Clinical Application of IMRT for Cervical Esophageal Cancer

“…In recent reports regarding surgical treatments, 5-year overall survival rates were in the range of 24-37.6 %, and high morbidity (33.1-49 %) and mortality (4-9.8 %) have also been reported. In a Japanese study, Daiko et al [ 8 ] reported that 74 cases of cervical esophageal cancer (UICC 1997 pStage I, 6; pStage II, 30; pStage III, 38 (T4, 19)) were treated using surgery, and the 3-and 5-year overall survival rates were 42 % and 33 %, respectively. Fujita et al reported a 5-year overall survival rate of 31 % for 29 cases of cervical esophageal cancer (UICC 1997 pStage I, 1; pStage II, 8; pStage III, 13; pStage IV, 7).…”

“…Daiko et al [ 8 ] reported that the fi rst recurrence after surgery was mostly locoregional (82 %) and that the rate of distant metastasis was 14 %. They reported that pathological staging, namely, pT, pN, pM1 distant lymph node metastases, lymphatic invasion, and extracapsular invasion, was prognostic factors identifi ed using univariate analysis.…”