Out of 1,338 esophageal carcinomas observed from 1980 lo 1987, 171 were clinically staged as early cancers. 150 of 17] patients underwent esophagectomy, and an early cancer was pathologically confirmed in fit. Hospital mortality was 3.3% (2 of 61). The 5-year survival rate of mucosal (n = 10) and submucosal (n = 51) tumors was 100 and 33%, respectively. Neoplastic recurrence was detected in 9 patients, all of whom were operated on for a submucosal tumor. We think that mucosal tumors can be cured with surgical resection, whereas submucosal cancers may need a multimodality treatment. During the last 3 years of the study, 10 patients with a clinical diagnosis of early cancer who were not candidates for surgery underwent endoscopic laser therapy: until now, no patients died with neoplastic recurrence.
Early squamous cell carcinoma of the esophagus: Diagnosis and management / A. Peracchia, A. Ruol, L. Bonavina, R. Bardini, A. Segalin, C. Castoro, F. Cavazzini, C. Tremolada. - In: DIGESTIVE SURGERY. - ISSN 0253-4886. - 6:3(1989), pp. 109-113. [10.1159/000171903]
Early squamous cell carcinoma of the esophagus: Diagnosis and management
A. Peracchia;L. Bonavina;R. Bardini;
1989
Abstract
Out of 1,338 esophageal carcinomas observed from 1980 lo 1987, 171 were clinically staged as early cancers. 150 of 17] patients underwent esophagectomy, and an early cancer was pathologically confirmed in fit. Hospital mortality was 3.3% (2 of 61). The 5-year survival rate of mucosal (n = 10) and submucosal (n = 51) tumors was 100 and 33%, respectively. Neoplastic recurrence was detected in 9 patients, all of whom were operated on for a submucosal tumor. We think that mucosal tumors can be cured with surgical resection, whereas submucosal cancers may need a multimodality treatment. During the last 3 years of the study, 10 patients with a clinical diagnosis of early cancer who were not candidates for surgery underwent endoscopic laser therapy: until now, no patients died with neoplastic recurrence.Pubblicazioni consigliate
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