[Stage T3 squamous cell carcinoma of the esophagus. Value of exclusive surgical excision and analysis of prognosis factors].
75 patients with an epidermoid carcinoma of the esophagus were studied. They all were stage T3 with or without lymph node involvement but without distant metastasis (T3 N0 M0 or T3 N+, M0). All the patients had a curative esophagectomy according to the Ivor Lewis procedure without any adjuvant treatment. In hospital mortality was 4%. There is a 28% 5 year actuarial survival in this group of patients where 60% had lymph node involvement. None of the 13 prognostic factors showed a significant relevance with respect to survival after an univariate analysis. Meanwhile surgical treatment ensured good digestive comfort and good quality of life at home.
Service de Chirurgie Viscérale 1, CHU de la Cavale Blanche, Brest.
A Z
AZ
Tabech
P
P
Topart
F
F
Vandenbroucke
A
A
Miossec
P
P
Lozac'h
D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000473:pathology / Q000601:surgery*; D016629:Esophagectomy / Q000009:adverse effects / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D017567:Karnofsky Performance Status; D009367:Neoplasm Staging; D011379:Prognosis; D016019:Survival Analysis