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Treatment outcomes of 70 cases of early esophageal carcinoma: 12 years of experience

Authors
 J.-H. Kim  ;  H. S. Chung  ;  Y. C. Lee  ;  C. B. Kim  ;  J. B. Chung  ;  S. Y. Song  ;  S. W. Park  ;  Y. H. Youn 
Citation
 Diseases of the Esophagus, Vol.20(4) : 297-300, 2007 
Journal Title
 Diseases of the Esophagus 
ISSN
 1120-8694 
Issue Date
2007
Abstract
Early esophageal cancer (EEC) has an excellent prognosis compared to advanced esophageal cancer. Nowadays, endoscopic mucosal resection (EMR) may offer another alternative to cure early cancers of the gastrointestinal tract. We aimed to evaluate the clinical outcomes of EEC in Korea after curative treatments; EMR or surgery. We retrospectively reviewed the medical records of patients diagnosed as EEC from January 1994 to August 2005 at Yonsei University Medical Center, Seoul, Korea. Among 888 patients diagnosed with esophageal cancer, 70 (7.9%) were included as EEC. Among them, 10 patients (14.3%) were treated by EMR, and 50 (71.4%) by operation. The treatment outcomes of EEC in relation to various clinicopathologic factors along with survival rates were analyzed. There were 18 cases (30%) of mucosal lesions and 42 cases (70%) of submucosal lesions. Overall 5-year survival rate was 84.3%. When comparing treatment outcomes between EMR-treated and operated groups, there were no significant differences in complete remission (80%vs. 84%), recurrence (20%vs. 16%) and 5-year survival rate (100%vs. 78.3%). EEC is a potentially curable entity with a good clinical prognosis. EMR can be considered as another treatment arm for EEC, along with surgical resection.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/j.1442-2050.2007.00674.x/abstract
DOI
10.1111/j.1442-2050.2007.00674.x
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Joo Hang(김주항)
Kim, Choong Bai(김충배)
Park, Seung Woo(박승우) ORCID logo https://orcid.org/0000-0001-8230-964X
Song, Si Young(송시영) ORCID logo https://orcid.org/0000-0002-1417-4314
Youn, Young Hoon(윤영훈) ORCID logo https://orcid.org/0000-0002-0071-229X
Lee, Yong Chan(이용찬)
Chung, Jae Bock(정재복)
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/95960
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