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01-05-2017 | Letter to the Editor

Changing the Rules of Resectability of T4b Esophageal Cancer Invading Aorta

Authors: Dimitrios Schizas, Demetrios Moris, Theodoros Liakakos

Published in: World Journal of Surgery | Issue 5/2017

Excerpt

We read with great interest the recent publication of Matsuda et al. [1] demonstrating a large retrospective study of Siewert type II esophagogastric junction (EGJ) carcinomas. The striking finding of this study was that para-aortic and mediastinal lymph node metastasis (above 16%) and recurrence rates (37.8%) were relatively high. Of interest, also, was the finding that around 30% of the cases were staged as T4 without further subclassification or any subgroup analysis about the adjacent tissues that were invaded. Moreover, it is not so clear, how many patients with T4 disease were finally offered a R1 resection. …

Matsuda T, Kurokawa Y, Yoshikawa T, Kishi K, Misawa K, Ohi M et al (2016) Clinicopathological characteristics and prognostic factors of patients with Siewert type II esophagogastric junction carcinoma: a Retrospective Multicenter Study. World J Surg 40(7):1672–1679. doi:10.1007/s00268-016-3451-z CrossRefPubMed

Merritt RE, Whyte RI, D’Arcy NT, Hoang CD, Shrager JB (2011) Morbidity and mortality after esophagectomy following neoadjuvant chemoradiation. Ann Thorac Surg 92:2034–2040CrossRefPubMed

Cong Z, Diao Q, Yi J, Xiong L, Wu H, Qin T et al (2014) Esophagectomy combined with aortic segment replacement for esophageal cancer invading the aorta. Ann Thorac Surg 97:460–466CrossRefPubMed

Metz R, Kimmings AN, Verhagen HJ, Rinkes IH, van Hillegersberg R (2006) Aortoesophageal fistula successfully treated by endovascular stent-graft. Ann Thorac Surg 82:1117–1119CrossRefPubMed

Makino T, Yasuda T, Shiraishi O, Shiozaki H (2014) Aortic stent-grafting facilitates a successful resection after neoadjuvant treatment of a cT4 esophageal cancer. J Thorac Cardiovasc Surg 148:e211–e212CrossRefPubMed

Title: Changing the Rules of Resectability of T4b Esophageal Cancer Invading Aorta
Authors: Dimitrios Schizas
Demetrios Moris
Theodoros Liakakos
Publication date: 01-05-2017
Publisher: Springer International Publishing
Published in: World Journal of Surgery / Issue 5/2017
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-016-3805-6

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Changing the Rules of Resectability of T4b Esophageal Cancer Invading Aorta

Excerpt

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