J.Jpn. Surg. Soc.. 81(9): 1031-1034, 1980

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Report on the annual meeting

THE CLINICAL PATTERN AND TREATMENT FOR CARCINOMA OF THE ESOPHAGUS

We have tried the classification for carcinoma of the esophagus according to the radiological type, histological type and circumstances (age and sex) of patients. We have divided advanced carcinoma into 3 types. They are spread, intermediated and localized type.
In the localized types, there were well-defined serrated type in esophagogram, moderatly or well differentiated squamous cell carcinoma and young female. To these types, surgical treatment is better treatment. Generally, females showed a twofold better survival rate than males; in the five year survival rate, females were 40.2%, and males were 16.6%. This difference is statistically significant.
In the spread types, there were ill-defined serrated type and spiral type in esophagogram, undifferentiated carcinoma of poorly differentiated squamous cell carcinoma and high age males. Especially, a small undifferentiated carcinoma (tumor size: ＜2.0 cm) with skip region showed most poor prognosis. These patients died almostly within one year after surgical treatment.
We think that the treatment to these spread type were adequate to the radiation and systemic chemotherapy rather than the surgical treatment.

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