J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 5151KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 86(5): 534-543, 1985

Original article

LYMPH NODE INVOLVEMENT IN CARCINOMA OF THE ESOPHAGUS
ーRE-EVALUATION FOR THE GROUPING OF LYMPH NODESー

Department of Surgery, Keio University School of Medicine, Tokyo, Japan
*) Department of Thoracic and Cardiovascular Surgery, University of Occupational and Environmental Health School of Medicin, Kitakyushu, Japan
**) First Department of Surgery, Kurume University School of Medicine, Kurume, Japan

Hiromasa Fujita*), Teruo Kakegawa**), Nobutoshi Ando, Hideyuki Kawahara*), Osahiko Abe

Based on the analysis of the lymph nodes dissected during resection of 234 esophageal carcinomas and the long-term results of the patient, lymph nodes of the esophagus were grouped into 3 categories, n1, n2 and n3.
The lymph nodes of n1 group were frequently involved in metastases and the long-term results of the patients with these lymph nodes metastases were excellent. The n2 lymph nodes were frequently involved in metastases but the survival rates of the patients were low. The n3 lymph nodes were rarely involved and the prognoses of the patients were poor.
In comparison with the classification of lymph nodes for surgical dissection as described by the Japanese Society for Esophageal Disease, some problems in this category are discussed. However, this category was revealed to have close relation to the long-term results of the patients with carcinoma of the esophagus and was considered to be of clinical use.

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