Abstract:
:The records of 51 patients with esophageal carcinoma were reviewed. Twenty-two patients underwent attempted curative resection with a mean survival of 7.7 months. Twenty patients underwent primary radiotherapy (mean survival, 4.3 months). Nine patients received palliative therapy alone (mean survival, 2.8 months). Surgical mortality was 27%, but symptomatic palliation was complete in 59% of the surgical patients. Only 5% of the radiotherapy group, and 11% of the palliative group were completely palliated. There is only one long-term survivor (21 + months). Lesions in the middle third of the esophagus, and the presence of clinical evidence of metastatic disease were predictive of a shorter survival. Patients with metastatic disease at presentation had a mean survival of only 2.5 months from diagnosis. It is concluded that surgery should be considered a palliative, not curative procedure, and that it should be attempted only in those patients without clinical evidence of metastatic disease.
journal_name
Cancerjournal_title
Cancerauthors
Adelstein DJ,Forman WB,Beavers Bdoi
10.1002/1097-0142(19840901)54:5<918::aid-cncr28205subject
Has Abstractpub_date
1984-09-01 00:00:00pages
918-23issue
5eissn
0008-543Xissn
1097-0142journal_volume
54pub_type
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