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Surgery alone in the curative treatment of localised oesophageal carcinoma
- Source :
- EJSO-European Journal of Surgical Oncology, EJSO-European Journal of Surgical Oncology, WB Saunders, 2004, 30 (8), pp.869-876. ⟨10.1016/j.ejso.2004.06.009⟩
- Publication Year :
- 2004
-
Abstract
- Aim To document the results of surgery alone in patients with localised oesophageal carcinoma. Methods Between January 1982 and 2002, 179 consecutive patients who underwent curative oesophagectomy for stage 0, I or II oesophageal carcinoma, without neo-adjuvant treatment, were analysed retrospectively. Results Postoperative mortality and morbidity rates were 2.8 and 30.7%, respectively. The overall actuarial survival rate at 5 years was 59%. No patients with more than four invaded lymph nodes survived 5 years. A lymph node ratio more than 0.2, more than four invaded lymph nodes and an advanced pTNM stage were predictors of poor prognosis. Conclusion Long-term survival after surgery alone for localised oesophageal carcinoma can be achieved in some 2/3rds of patients. These results should be considered before designing neo-adjuvant therapeutic regimen or embarking into exclusive treatment alternate to oesophagectomy.
- Subjects :
- Adult
Male
Poor prognosis
medicine.medical_specialty
Esophageal Neoplasms
[SDV]Life Sciences [q-bio]
030230 surgery
Risk Assessment
Statistics, Nonparametric
Cohort Studies
03 medical and health sciences
0302 clinical medicine
Sex Factors
Medicine
Humans
In patient
Stage (cooking)
Lymph node
ComputingMilieux_MISCELLANEOUS
Aged
Neoplasm Staging
Probability
Proportional Hazards Models
Retrospective Studies
Therapeutic regimen
business.industry
Biopsy, Needle
Age Factors
General Medicine
Oesophageal carcinoma
Middle Aged
Immunohistochemistry
Survival Analysis
3. Good health
Surgery
Esophagectomy
medicine.anatomical_structure
Treatment Outcome
Oncology
Curative treatment
030220 oncology & carcinogenesis
Carcinoma, Squamous Cell
Female
Lymph
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 07487983
- Volume :
- 30
- Issue :
- 8
- Database :
- OpenAIRE
- Journal :
- European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
- Accession number :
- edsair.doi.dedup.....3f295eaebcbce26cd088c73fa2a9503b