CARCINOMA OF ESOPHAGUS AND CARDIA

  • 1 January 1977
    • journal article
    • research article
    • Vol. 66  (1) , 8-13
Abstract
Patients (234) are reported; 146 with carcinoma of the esophagus and 88 with carcinoma of the cardia. There were 82 females and 152 males, mean age 62 yr. The overall operability and resectability of the whole series was 38 and 23%. In cardiac carcinoma operability was 50% and resectability, 32%, while in esophageal carcinoma it was 31 and 18%, respectively. Fifty-four patients underwent resection, 44 received irradiation and in 136 patients only palliative treatment was possible. The overall hospital mortality after resection was 15%; after esophageal resection, 12%, after cardiac resection, 18% and after palliative procedures, 14%. Anastomotic leakage occurred in 9 patients (17%), 4 of whom died. The overall 5 yr survival rate for the whole series was 4%; after resection, 11% and after radiotherapy, 4%. No patient in the palliative group survived for 2 yr. The mean survival time after irradiation was 11.5 mo. and after palliative procedures, 5.5 mo. The 5 yr survival rate after esophageal resection was 13% and after cardiac resection, 6%.

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