[Surgical treatment results for carcinoma of the gastric cardia in 1832 cases].
OBJECTIVE
To evaluate the results of surgical treatment for carcinoma of the gastric cardia and the prognostic factors.


METHODS
The prognostic factors were assessed with 5-year survival rates which was estimated using life table method in 1832 cases. The difference between groups was assessed by the log rank test.


RESULTS
The overall resection rate was 76.3% and the radical resection rate 53.4%. The overall 5-year survival rate was 23.5% while in patients treated with curative resection it was 29.9%. The 5-year survival rate was 29.4% in patients received preoperative radiation and 21.5% in patients treated with surgery alone (P > 0.05). Patients whose upper margin of resection was longer than 5 cm away from the tumor had higher 5-year survival rate (25.8%) than those with margin of resection less than 5 cm (18.4%). The difference was statistically significant (P < 0.05).


CONCLUSIONS
Preoperative radiation can increase the survival rate, but it was not statistically significant. Increasing the margin of resection to > 5 cm can improve survival.
Department of Thoracic Surgery, Cancer Institute (Hospital), Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing.
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D000230:Adenocarcinoma / Q000532:radiotherapy / Q000556:secondary / Q000601:surgery*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002299:Cardia; D005260:Female; D005743:Gastrectomy / Q000379:methods; D006801:Humans; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D011300:Preoperative Care; D011379:Prognosis; D018714:Radiotherapy, Adjuvant; D013274:Stomach Neoplasms / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D015996:Survival Rate