title: [Diagnosis and long-term results of surgical resection of early cardiac adenocarcinoma].
abstract: OBJECTIVE
  To summarize therapeutic experience and the long-term results of early cardiac adenocarcinoma with surgical resection.
  
  
  METHODS
  Ninety cases were diagnosed with early cardiac adenocarcinoma during endoscopic screening in high incidence rate area of esophageal cancer from 1972 to 1997. All of the patients accepted surgical treatment. Cardiectomy included partial stomach and esophagus was performed through left thoracotomy in all patients. Esophagogastrostomy was carried out in the infra-aortic region and thoracoabdominal lymphatic dissection was performed in all cases.
  
  
  RESULTS
  The resection rate was 100%. One patient died in one month after the operation. Postoperative complications occurred in 4 cases (4.4%). Pathological examination of cancer specimens showed that 46 cases (51.1%) were intramucosal carcinoma without lymphatic metastasis and 44 cases (48.9%) were submucous infiltrating carcinoma with lymphatic metastasis in 5 (11.4%). The patients were followed-up to 2002, and the overall 5, 10, 15, 20 and 25 year survival rates were 91.9%, 83.6%, 69.6%, 49.8% and 16.6%, respectively.
  
  
  CONCLUSIONS
  Early diagnosis and early treatment may be the best approach for promoting the survival of the cardiac cancer. Surgical resection of early cardiac carcinoma provides excellent long-term survival.
authors.affiliation: Department of Thoracic Surgery, Cancer Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China. wgq2581@yahoo.com.cn
authors.forename: Guo-qing
authors.initials: GQ
authors.lastname: Wang
authors.forename: Guang-gen
authors.initials: GG
authors.lastname: Jiao
authors.forename: Jin-xiang
authors.initials: JX
authors.lastname: Song
authors.forename: Wei-hong
authors.initials: WH
authors.lastname: Fang
authors.forename: Ning
authors.initials: N
authors.lastname: Lü
authors.forename: Dong-mei
authors.initials: DM
authors.lastname: Lin
authors.forename: Yong-qiang
authors.initials: YQ
authors.lastname: Xie
authors.forename: Jun-hui
authors.initials: JH
authors.lastname: Zhang
authors.forename: Wen-qiang
authors.initials: WQ
authors.lastname: Wei
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis / Q000601:surgery*; D000328:Adult; D000368:Aged; D002299:Cardia; D055088:Early Detection of Cancer; D016629:Esophagectomy; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000601:surgery*; D016019:Survival Analysis; D016896:Treatment Outcome