Comprehensive Registry of Esophageal Cancer in Japan, 2003

Ozawa, Soji; Tachimori, Yuji; Baba, Hideo; Fujishiro, Mitsuhiro; Matsubara, Hisahiro; Numasaki, Hodaka; Oyama, Tsuneo; Sekiguchi, Masayuki; Takeuchi, Hiroya; Tanaka, Otsuo; Teshima, Teruki; Udagawa, Harushi; Umemura, Takashi; Barron, J. Patrick

doi:10.1007/s10388-011-0266-8

Cited by 44 publications

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“…1 Basaloid squamous cell carcinoma of the esophagus (BSCE) is an uncommon variant of squamous cell carcinoma of the esophagus (SCCE), and is extremely rare among esophageal malignancies. BSCE comprises approximately 0.1% of the esophageal carcinomas.…”

Section: Introductionmentioning

confidence: 99%

A case of long-term survival after pulmonary resection for metachronous pulmonary metastasis of basaloid squamous cell carcinoma of the esophagus

Takemura

Yoshida

Fujiwara

et al. 2012

International Journal of Surgery Case Reports

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Section: Introductionmentioning

confidence: 99%

A case of long-term survival after pulmonary resection for metachronous pulmonary metastasis of basaloid squamous cell carcinoma of the esophagus

Takemura

Yoshida

Fujiwara

et al. 2012

International Journal of Surgery Case Reports

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“…Radical esophagectomy is the primary curative therapy for patients with esophageal cancer, and recent advances in surgical techniques including extensive lymph node dissection have improved the surgical outcome of esophageal cancer [1,2]. The posterior mediastinal lymph nodes, including the thoracic paraaortic lymph nodes and pulmonary ligament lymph nodes, are defined as important regional lymph nodes for esophageal cancer in the Japanese Guidelines for Clinical and Pathologic Studies on Carcinoma of the Esophagus [3,4], and dissection of these lymph nodes is crucial for curative resection of esophageal cancer.…”

Section: Introductionmentioning

confidence: 99%

Posterior mediastinal lymph node dissection using the pneumomediastinum method for esophageal cancer

et al. 2012

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Although posterior mediastinal lymph node metastases are often observed in patients with esophageal cancer, their complete resection via a right thoracic approach is difficult and carries a risk of complications. We have developed a novel procedure for en-bloc dissection of the posterior mediastinal lymph nodes using the pneumomediastinum method. The patient was a 48-year-old female with middle thoracic esophageal cancer. A computed tomography scan showed a posterior mediastinal lymph node 1 cm in diameter. After division of the gastrosplenic ligament by hand-assisted laparoscopic surgery, the esophageal hiatus was opened, and carbon dioxide was introduced into the mediastinum. The anterior and left sides of the distal esophagus were separated, and a swollen posterior mediastinal lymph node was detected. Subsequently, the adventitia of the thoracic aorta was exposed, and the posterior side of the lymph node was separated. While lifting these nodes like a membrane, we cut them along the border of the left mediastinal pleura. Histopathological examination revealed a single squamous cell carcinoma metastasis in the resected lymph node. A good surgical view was obtained in our surgical procedure, and en-bloc dissection of the posterior mediastinal lymph nodes was safely performed.

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“…In Japan, the predominant pathological type of esophageal cancer is squamous cell carcinoma (SCC). Recent advances in surgical methods combined with perioperative treatment have led to better prognosis for esophageal cancer; however, the tumor recurrence rate is still high, and the prognosis is worse than that for other gastrointestinal malignancies, even if curative resection with radical lymph node dissection is completed [2][3][4]. Furthermore, recurrence in esophageal cancer presents earlier than that in other types of cancer [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Predictive factors for early recurrence in patients with esophageal squamous cell carcinoma after curative esophagectomy

et al. 2012

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Background Even after curative resection with combined modality treatment by chemotherapy and radiation, esophageal cancer has remained a disease with poor prognosis upon early recurrence. In this study, the clinicopathological predictive factors for early recurrence in patients with curative resected esophageal cancer were retrospectively evaluated. Methods Eighty-one consecutive patients who had recurrence of primary esophageal squamous cell carcinoma after curative resection were analyzed. The patients were classified into two subgroups by time of recurrence (within 180 days of surgery or later): an early group and a late group. Results Twenty-seven (33.3%) and 54 (66.7%) patients were classified into the early and late groups, respectively. Patients in the early group had significantly deeper tumors than those in the late group. The initial recurrence patterns were not significantly different between the two groups, and distant recurrences were found in two-thirds of patients in both groups. The 1-year survival rates of patients in the early and late groups were 11 and 62%, respectively. The survival rate after recurrence of patients in the early group was significantly poorer than that of patients in the late group (p \ 0.0001). Multivariate logistic regression analysis revealed that the presence of three or more pathological lymph node metastases was an independent risk factor associated with early recurrence.Conclusions Early distant recurrences of esophageal cancer frequently occurred even after curative surgery. The number of pathological lymph node metastases (three or more) was the independent risk factor for early recurrence in patients with esophageal cancer after curative resection.

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Comprehensive Registry of Esophageal Cancer in Japan, 2003

Cited by 44 publications

References 0 publications

A case of long-term survival after pulmonary resection for metachronous pulmonary metastasis of basaloid squamous cell carcinoma of the esophagus

A case of long-term survival after pulmonary resection for metachronous pulmonary metastasis of basaloid squamous cell carcinoma of the esophagus

Posterior mediastinal lymph node dissection using the pneumomediastinum method for esophageal cancer

Predictive factors for early recurrence in patients with esophageal squamous cell carcinoma after curative esophagectomy

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