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Selected Publication:
Smolle-Juettner, FM; Pinter, H; Smolle, J; Pakisch, B; Arian-Schad, K; Samonigg, H; Jeran, H; Friehs, G; Hackl, A.
Surgical and non-surgical treatment of cancer of the oesophagus and the oesophagogastric junction: results of 200 consecutive cases.
Wien Klin Wochenschr. 1992; 104(18):563-569
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- Leading authors Med Uni Graz
- Smolle-Juettner Freyja-Maria
- Co-authors Med Uni Graz
- Hackl Arnulf
- Kapp Karin S.
- Pinter Hans
- Samonigg Hellmut
- Smolle Josef
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- Abstract:
- 200 consecutive, unselected patients with cancer of the oesophagus or the oesophagogastric junction (89 squamous, 110 adenocarcinoma or undifferentiated, 1 oat cell) between 1984 and 1987 were reviewed. Resection with postoperative adjuvant irradiation in the cases of squamous cell cancer, was carried out in 51 patients and non-surgical treatment [57 combined dilation and Nd-YAG-laser, 64 iridium 192 high-dose rate brachytherapy with or without 60 Gy external beam irradiation (EBR); 28 endoprostheses] was performed in the remaining 149 patients. The overall 5 year-survival rate was 9.2% (resections: 17.9%, non-resected: 5.2%). Resected nodal negative T1 or T2 patients had the best prognosis (45.8% 5-year survival). The median survival following dilation and laser was 3.4 months for all T-stages. Endoprostheses yielded a median survival of 1.7 months. Intracavitary brachytherapy gave the best palliative result with 6.5 months median survival, whereby only T1 and T2 patients benefitted from additional EBR. Histological subtype, age, sex or tumour localization did not influence survival. Multivariate analysis showed that in M0 patients the choice of treatment had a significant impact on prognosis.
- Find related publications in this database (using NLM MeSH Indexing)
- Adenocarcinoma - mortality
- Adenocarcinoma - radiotherapy
- Adenocarcinoma - surgery
- Adult -
- Aged -
- Aged, 80 and over -
- Carcinoma, Squamous Cell - mortality
- Carcinoma, Squamous Cell - radiotherapy
- Carcinoma, Squamous Cell - surgery
- Combined Modality Therapy -
- Esophageal Neoplasms - mortality
- Esophageal Neoplasms - radiotherapy
- Esophageal Neoplasms - surgery
- Esophagectomy -
- Esophagogastric Junction - radiation effects
- Esophagogastric Junction - surgery
- Female -
- Follow-Up Studies -
- Humans -
- Lymph Node Excision -
- Lymphatic Metastasis -
- Male -
- Middle Aged -
- Palliative Care -
- Stomach Neoplasms - mortality
- Stomach Neoplasms - radiotherapy
- Stomach Neoplasms - surgery
- Survival Rate -
- Find related publications in this database (Keywords)
- Esophageal Cancer
- Surgery
- Intraluminal Afterloading
- Endoprosthesis
- Dilation