[Treatment outcomes of patients with cervical lymph node recurrence after esophagectomy for esophageal cancer].
Herein, we report the treatment outcomes of patients with limited cervical lymph node recurrence after esophagectomy for esophageal cancer. Between April 2010 and December 2013, 8 patients with cervical lymph nodes recurrence were diagnosed and treated in our department. All patients were detected with recurrent disease by using positron emission tomography computed tomography(PET-CT), and among these, 5 patients had solitary node recurrence. Initial treatments were irradiation therapy in 5 patients and lymphadenectomy in 3 patients. Four of 5 patients underwent irradiation therapy and lymphadenectomy. Four of 5 patients with solitary node recurrence are still alive without relapse of disease. In conclusion, PET-CT can be useful for early detection of recurrent disease after esophagectomy. Appropriate therapy for patients with solitary cervical lymph node recurrence is associated with long-term survival after recurrence.
Dept. of Upper Gastrointestinal Surgery, Hyogo College of Medicine.
Masashi
M
Takemura
Nobuaki
N
Kaibe
Mamiko
M
Takii
Kayo
K
Yoshida
Hirotaka
H
Niwa
Tsutomu
T
Oshima
Shoujiro
S
Kikuchi
Mitsuru
M
Sasako
D000368:Aged; D004938:Esophageal Neoplasms / Q000473:pathology* / Q000628:therapy; D016629:Esophagectomy; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D064847:Multimodal Imaging; D009333:Neck / Q000473:pathology* / Q000601:surgery; D049268:Positron-Emission Tomography; D012008:Recurrence; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome