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(Chest. 1994;106:742-745.)
© 1994 American College of Chest Physicians

Esophageal Carcinoma with Airway Invasion

Evolution and Choices of Therapy

Nasser K. Altorki M.D.1; Marcello Migliore M.D.1; and David B. Skinner M.D.1

1 From the New York Hospital-Cornell Medical Center, New York

In order to define the evolution of airway invasion by esophageal cancer, we reviewed 53 patients presenting with (group A) or without (group B) tracheoesophageal fistulae. Patients in group A were treated by esophageal bypass (4), esophageal diversion (4), expectant therapy (4), or esophageal prosthesis (1). The median survival was 4 months. Group B patients were treated by esophageal resection (18), esophageal bypass (4), or radiation therapy (13), depending on the extent of local disease. Bronchoscopy was a valuable tool for predicting resectability. Surgical resection, when possible, yielded better palliation. There were 4 long-term survivors in group B.

Submitted on October 28, 1993
Accepted on January 4, 1994




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