Pattern of recurrence after surgery in adenocarcinoma of the gastro-oesophageal junction

被引：61

作者：

de Manzoni, G

Pedrazzani, C

Pasini, F

Durante, E

Gabbani, M

Grandinetti, A

Guglielmi, A

Griso, C

Cordiano, C

机构：

[1] Univ Verona, Dept Gen Surg 1, Div Med Oncol, I-37100 Verona, Italy

[2] Univ Verona, Dept Gen Surg 1, Div Radiat Oncol, I-37100 Verona, Italy

来源：

EUROPEAN JOURNAL OF SURGICAL ONCOLOGY | 2003年 / 29卷 / 06期

关键词：

gastro-oesophageal junction adenocarcinoma; Siewert classification; surgical treatment; recurrence;

D O I：

10.1016/S0748-7983(03)00098-2

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Aims: This study reports mode, timing and predictive factors of recurrence after curative surgery for cardia cancer. Methods: A prospective study in a series of 92 curatively (R0) resected patients from 1988 to 2002. Results: The 5-year recurrence rate was 71%. Lymph node involvement was the only predictor of recurrence. No patients with more than 6 metastatic nodes were free from relapse 2 years after surgery. Locoregional, peritoneal and haematogenous relapses showed a similar median recurrence time (12, 10 and 12 months, respectively), 80% occurred within 24 months. Conclusions: Few patients can be cured by surgery, lymph nodal involvement is the only predictor of recurrence. (C) 2003 Elsevier Science Ltd. All rights reserved.

引用

页码：506 / 510

页数：5

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