| Autor: |
Y, Tabira, S, Lida, T, Ichimaru, T, Sakaguchi, K, Nakano, N, Nagamoto, M, Tanaka, M, Yasunaga, N, Kitamura |
| Rok vydání: |
2001 |
| Předmět: |
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| Zdroj: |
International surgery. 85(4) |
| ISSN: |
0020-8868 |
| Popis: |
We examined the indication of upper mediastinal lymphadenectomy for a squamous cell carcinoma of the lower thoracic oesophagus.49 patients underwent a curative oesophagectomy with upper mediastinal lymphadenectomy for a squamous cell carcinoma of the lower thoracic oesophagus. Node status and clinicopathological characteristics of these patients were reviewed retrospectively.16 (94.1%) of 17 patients with superficial tumours had no positive node in the upper mediastinum. Nine (29.0%) of 31 patients with transmural tumours had positive nodes in the upper mediastinum (P = 0.04). Ten (20.4%) of 49 patients had many positive nodes in the upper mediastinum. Of these 10 patients, 6 patients had 5 or more positive nodes in all. The 5-year survival rate for patients with 5 or more positive nodes was 7.7%, which was significantly poorer than patients with 4 or fewer positive nodes.Upper mediastinal lymphadenectomy is unnecessary in most of the superficial squamous carcinomas of the lower thoracic oesophagus. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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