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

[Abstract] [Full Text PDF] （in Japanese / 1846KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 86(9): 1075-1078, 1985

Report on the annual meeting

A FEW IMPORTANT ASPECTS IN THE TREATMENT OF EARLY ESOPHAGEAL CANCER

*) First Department of Surgery, Tokyo Medical and Dental University, School of Medicine, Tokyo, Japan
**) Department of Gastroenterological Surgery, Tokyo Women’s Medical College, Tokyo, Japan

Mitsuo Endo*), Akiyoshi Yamada**), Hiroko Ide**), Yoko Murata**), Norihiko Okushima**)

The Japanese Society for Esophageal Cancer has defined mucosal and submucosal cancer as superficial cancer of the esophagus. Superficial cancer without metastasis was defined as early cancer of the esophagus. Of 104 cases of superficial cancer resected in these twently years, early cancer was 62 cases, the incidence being 4.9％ of all resected cases. The operative mortality rate and 5-year-survival rate of early cancer were 1.9％ and 62％, respectively. As for the depth of the cancerous invasion, 14 of 104 superficial cancer cases were mucosal cancer. Twelve of 14 mucosal cancer belonged to early cancer. Vascular invasion was noted in one of 12 early mucosal cancer cases. No cancer death has been encountered in the early mucosal cancer cases. So the discovery of the mucosal cancer is mandatory to obtain the excellent results. For this purpose the value of endoscopy including the dying method, should be emphasized. In terms of treatment of the early cancer no special surgical procedure has been considered. The lymph node dissection has been carried out systematically. Some kinds of postoperative combined treatments are performed for early cancer cases with vascular invasion. The reduction surgery and the noninvasive treatment will be advisable for the small mucosal lesions.

<< To previous pageTo next page >>

To read the PDF file you will need Adobe Reader installed on your computer.