Recurrence and survival after resection of adenocarcinoma of the gastric cardia

被引:7
作者
Stassen, LPS
Bosman, FT
Siersema, PD
Hop, WCJ
Blomjous, JGAM
Tilanus, HW
机构
[1] Univ Hosp Rotterdam Dijkzigt, Dept Surg, Rotterdam, Netherlands
[2] Univ Hosp Rotterdam Dijkzigt, Dept Pathol, Rotterdam, Netherlands
[3] Univ Hosp Rotterdam Dijkzigt, Dept Internal Med, Rotterdam, Netherlands
[4] Univ Hosp Rotterdam Dijkzigt, Dept Epidemiol & Biostat, Rotterdam, Netherlands
[5] Erasmus Univ, NL-3000 DR Rotterdam, Netherlands
来源
DISEASES OF THE ESOPHAGUS | 2000年 / 13卷 / 01期
关键词
D O I
10.1046/j.1442-2050.2000.00070.x
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
In a retrospective study, the results after resection of carcinoma of the gastric cardia in the era without neoadjuvant therapy or extended lymph node dissection were evaluated. All 184 patients who underwent resection between January 1983 and December 1993 were included. Recurrence of disease, survival and prognostic factors were determined. The overall cumulative 5-year recurrence rate was 71% and the survival rate 23%. Multivariate analysis identified locoregional lymph node and distant metastases as the crucial prognosticators of recurrence of disease and survival. These results were similar to those from a previous study concerning our patients operated during the years 1983-88. The prognosis of a resected cardiacarcinoma has remained unchanged in our hands over the past 10 years. These results stress the importance of exploring new ways, such as the use of new diagnostic tools, to optimize preoperative patient selection and more aggressive treatment regimens to improve final outcome.
引用
收藏
页码:32 / 38
页数:7
相关论文
共 44 条
[1]   Strategies to decrease the incidence of intra-abdominal recurrence in resectable gastric cancer [J].
Averbach, AM ;
Jacquet, P .
BRITISH JOURNAL OF SURGERY, 1996, 83 (06) :726-733
[2]   Prolonged survival follows resection of oesophageal SCC downstaged by prior chemoradiotherapy [J].
Bessell, JR ;
Devitt, PG ;
Gill, PG ;
Goyal, S ;
Jamieson, GG .
AUSTRALIAN AND NEW ZEALAND JOURNAL OF SURGERY, 1996, 66 (04) :214-217
[3]  
BLOMJOUS JGAM, 1992, CANCER, V70, P569, DOI 10.1002/1097-0142(19920801)70:3<569::AID-CNCR2820700305>3.0.CO
[4]  
2-Z
[5]   PREOPERATIVE STAGING OF ESOPHAGEAL CANCER - COMPARISON OF ENDOSCOPIC US AND DYNAMIC CT [J].
BOTET, JF ;
LIGHTDALE, CJ ;
ZAUBER, AG ;
GERDES, H ;
URMACHER, C ;
BRENNAN, MF .
RADIOLOGY, 1991, 181 (02) :419-425
[6]   ROLE OF ENDOSCOPIC ULTRASONOGRAPHY IN ESOPHAGEAL-CARCINOMA [J].
DITTLER, HJ ;
SIEWERT, JR .
ENDOSCOPY, 1993, 25 (02) :156-161
[7]  
Elias D, 1992, Eur J Surg Oncol, V18, P563
[8]   LIMITED ESOPHAGOGASTRECTOMY FOR CARCINOMA OF THE CARDIA - INDICATIONS, TECHNIQUE, AND RESULTS [J].
ELLIS, FH ;
GIBB, SP ;
WATKINS, E .
ANNALS OF SURGERY, 1988, 208 (03) :354-361
[9]   Laparoscopic ultrasonography for staging gastroesophageal cancer [J].
Finch, MD ;
John, TG ;
Garden, J ;
Allan, PL ;
PatersonBrown, S .
SURGERY, 1997, 121 (01) :10-17
[10]   ENDOSONOGRAPHY IN PATIENT SELECTION FOR SURGICAL-TREATMENT OF ESOPHAGEAL-CARCINOMA [J].
FOK, M ;
CHENG, SWK ;
WONG, J .
WORLD JOURNAL OF SURGERY, 1992, 16 (06) :1098-1103