Neoadjuvant chemoradiotherapy for esophageal cancer:Impact on extracapsular lymph node involvement

AIM:To assess the effects of neoadjuvant chemoradiotherapy(CRT) on the presence of extracapsular lymph node involvement(LNI) and its prognostic value in patients with resected esophageal cancer.METHODS:Two hundred and ninety-eight patients with advanced esophageal cancer underwent esophagectomy betw...

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Published in:World journal of gastroenterology : WJG Vol. 16; no. 16; pp. 1986 - 1992
Main Author: Metzger, Ralf
Format: Journal Article
Language:English
Published: United States Department of General, Visceral and Cancer Surgery, Center for Integrated Oncology, University Hospital of Cologne, 50937 Cologne, Germany%Department of Pathology, University of Cologne,50937 Cologne, Germany%Department of Radiation Oncology, University of Cologne, 50937 Cologne, Germany%Department of Pathology, University of Düsseldorf, 40225 Düsseldorf, Germany 28-04-2010
The WJG Press and Baishideng
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Summary:AIM:To assess the effects of neoadjuvant chemoradiotherapy(CRT) on the presence of extracapsular lymph node involvement(LNI) and its prognostic value in patients with resected esophageal cancer.METHODS:Two hundred and ninety-eight patients with advanced esophageal cancer underwent esophagectomy between 1997 and 2006.One hundred and ninety patients(63.8%) were treated with neoadjuvant CRT prior to resection.A total of 986 metastatic LNs were examined.Survival of the patients was analyzed according to intra-a...
Bibliography:Adenocarcinoma
Lymph node metastasis
Neoadjuvant therapy
Chemotherapy
Squamous cell carcinoma
Prognosis
Extracapsular lymph node involvement
14-1219/R
R735.1
Esophageal cancer; Neoadjuvant therapy; Chemotherapy; Radiotherapy; Adenocarcinoma; Squamous cell carcinoma; Lymph node metastasis; Extracapsular lymph node involvement; Prognosis
Radiotherapy
Esophageal cancer
ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Author contributions: Metzger R was involved in the majority of writing and editing of the manuscript, and coordinating the study; Bollschweiler E performed the statistical analysis and contributed to the conception and design of the manuscript; Drebber U and Baldus SE were responsible for pathological assessment of the resected tumor samples and lymph nodes; Mönig SP and Schröder W contributed to the acquisition of surgical and routine histopathological data; Alakus H was involved in the acquisition of the surgical data and in editing the manuscript; Kocher M performed the neoadjuvant chemoradiotherapy; Hölscher AH coordinated and performed the study and edited the manuscript.
Correspondence to: Ralf Metzger, MD, Department of General, Visceral and Cancer Surgery, Center for Integrated Oncology, University Hospital of Cologne, Kerpener Str. 62, 50937 Cologne, Germany. ralf.metzger@uk-koeln.de
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v16.i16.1986