ESOPHAGEAL CANCER - AUTOPSY FINDINGS IN 171 CASES

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  • 1 January 1984
    • journal article
    • research article
    • Vol. 108  (12) , 983-988
Abstract
Autopsy findings in 171 patients with primary esophageal cancer were presented and results were compared with those of other investigators. The ratio of men to women was 5.84:1. The average age of the women was 72.9 yr. The average age of the men was 61.6 yr. Squamous cell carcinomas were found in 91.8% of the cases, adenocarcinomas in 6.4% of the cases, and sarcomas in 1.8% of the cases. In the cases of squamous cell carcinoma, there was an ulcerating and infiltrating growth, primarily. In the cases of adenocarcinoma, there was a polypoid exophytic growth and an ulcerating growth. Most of the tumors were localized in the medial third of the esophagus (50.9%), followed by the distal third of the esophagus (39.7%) and, lastly, the proximal third of the esophagus (9.4%). Of all the tumors, 42.7% had an extension of > 5 cm in the longitudinal axis at autopsy. The trachea was the organ most commonly infiltrated (21%). No metastases occurred in 28.6% of the cases. Lymph node metastases existed in 67.3% of the cases, and visceral metastases were present in 29.8% of the cases.

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