Radiation therapy for the supraclavicular lymph node metastasis after curative resection of the esophageal carcinoma.
172 patients underwent curative resection for squamous cell carcinoma of the esophagus. The five-year actuarial survival rate was 38%. 21 of 27 patients who developed nodal metastasis of the supraclavicular lymph node were irradiated with a total dose of 40 to 70 Gy over four to seven weeks. This retrospective study showed the following results: 1. Complete response by radiation therapy was obtained 4/4 in tumor size within 2 cm, 7/10 in 2.1 to 5.0 cm with a total dose of 60 to 70 Gy, while 1/5 with a total dose of 40 to 56 Gy. 2. There were statistically significant differences of survival curves between multiple metastases and single metastasis of the supraclavicular lymph node (p less than 0.01).
Chatani
M
M
Department of Radiation Therapy, Center for Adult Diseases, Osaka, Japan.
Matayoshi
Y
Y
Masaki
N
N
Kabuto
T
T
D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000453:epidemiology / Q000532:radiotherapy / Q000556:secondary*; D004938:Esophageal Neoplasms / Q000453:epidemiology / Q000401:mortality / Q000601:surgery*; D005260:Female; D006258:Head and Neck Neoplasms / Q000453:epidemiology / Q000532:radiotherapy / Q000556:secondary*; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008198:Lymph Nodes / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015996:Survival Rate