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Surgical Treatment for Carcinoma of the Esophagus Involving the Trachea, Bronchus and Lung in Terms of its Prognosis and Pathological Study


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Title: Surgical Treatment for Carcinoma of the Esophagus Involving the Trachea, Bronchus and Lung in Terms of its Prognosis and Pathological Study
Authors: Ayabe, Hiroyoshi / Tomita, Masao / Shimoyama, Takatoshi / Kawahara, Katsunobu / Miura, Toshio / Uchida, Yuzo
Authors (alternative): 綾部, 公懿 / 富田, 正雄 / 下山, 孝俊 / 川原, 克信 / 三浦, 敏夫 / 内田, 雄三
Issue Date: 25-Oct-1985
Citation: Acta medica Nagasakiensia. 1985, 30(1-3), p.13-21
Abstract: Key word: Carcinoma of the esophagus, A3 involving the trachea, bronchus, lung, pathology, prognosis. A total of 10 patients with carcinoma of the esophagus involving the trachea, bronchus and lung were operated upon. Their clinical features and histological patterns of cancer invasion were evaluated. In 5 patients involving the lung, the preoperative irradiation therapy was histologically effective in encircling the cancer lesions by induced scar formation. It was possible to render the resection to enhance its radicality. In 5 patients involving the trachea or the bronchus, it has become apparent that the membranous portion is more susceptible to cancer invasion and the structures of the cartilages on the tracheal and bronchial walls have a strong resistance to cancerous spread. The extent of cancer invasion on the trachea or bronchus was considerably limited. The sharp dissection at the site of occurrence of cancer invasion as an operative procedure of choice is sometimes beneficial in attempt to enhance the operative radicality when cancer invasion reaches to the adventitial layer. The prognosis, however, was not improved by an extended resection. It seems to be closely related to n-factor. None of them survived exceeding one year after surgery.
URI: http://hdl.handle.net/10069/15663
ISSN: 00016055
Type: Departmental Bulletin Paper
Text Version: publisher
Appears in Collections:Volume 30, No. 1-3

Citable URI : http://hdl.handle.net/10069/15663

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