Abstract
Objective
Postoperative recurrence of esophageal carcinoma was the main factor that affect the patients’ survival and quality of life. This study mainly investigated the clinical features of thoracic stomach cancer (TSC) after surgical treatment for esophageal carcinoma.
Methods
We retrospectively reviewed 51 cases of postoperative TSC in our hospital (Henan Province Tumor Hospital, Zhengzhou, China).
Results
The 51 (10.97%) of all 465 cases that underwent endoscope after surgical treatment for esophageal carcinoma in our hospital were TSCs. There were 13 cases with complicating anastomotic recurrence. The locations of 46 cases (90.2%) were the same as the primary cancer. The 48 cases were squamous cell carcinomas and 3 cases were adenocarcinomas after esophagectomy for esophageal carcinoma. Endoscopic manifestations were puffiness-infiltrating type at 39.2% (20/51), massive type at 15.7% (8/51), ulcerative type at 7.8% (4/51) and ulcerative infiltrating type at 3.9% (2/51) and stenotic type etc.
Conclusion
The incidence of TSC after surgical treatment for esophageal carcinoma is high. The main cause was that the local residual cancer invaded gastric wall. The gastroscopic features of TSC are different from those of gastric cancer. Regular review with endoscopy in postoperative esophageal carcinoma patients was a major way to diagnose TSC.
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References
Shao LF, Chen YH, Gao ZR, et al. Surgical treatment of carcinoma of esophagus and gastric cardia — A 34-year investigation. Chinese-German J Clin Oncol, 2002, 1: 61–64.
Schipper PH, Cassivi SD, Deschamps C, et al. Locally recurrent esophageal carcinoma: when is re-resection indicated? Ann Thorac Surg, 2005, 80: 1001–1005.
Nakamura T, Ota M, Narumiya K, et al. Multimodal treatment for lymph node recurrence of esophageal carcinoma after curative resection. Ann Surg Oncol, 2008, 15: 2451–2457.
Atmani A, Topart P, Vandenbroucke F, et al. Metachronous cancer of gastroplasty after esophagectomy. Dis Esophagus, 2006, 19: 512–515.
Ebihara Y, Hosokawa M, Kondo S, et al. Thirteen cases with intramural metastasis to the stomach in 1259 patients with oesophageal squamous cell carcinoma. Eur J Cardiothorac Surg, 2004, 26: 1223–1225.
Kim HJ, Lee JH, Moon TG, et al. Diagnosis and treatment of metachronous gastric cancers after surgical treatment for esophageal squamous cell carcinoma. Hepatogastroenterology, 2008, 55: 457–462.
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Cao, X., Chen, X., Wang, S. et al. The clinical features of thoracic stomach cancer after surgical treatment for esophageal carcinoma. Chin. -Ger. J. Clin. Oncol. 9, 697–699 (2010). https://doi.org/10.1007/s10330-010-0650-1
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DOI: https://doi.org/10.1007/s10330-010-0650-1