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(Chest. 1970;57:47-57.)
© 1970 American College of Chest Physicians

Surgery of Carcinoma of the Esophagus with Preoperative Radiation

Ichiro Akakura M.D.1; Yoshizo Nakamura M.D., F.C.C.P.1; Teruo Kakegawa M.D., F.C.C.P.1; Ryuichi Nakayama M.D.1; Hiroshi Watanabe M.D.1; and Hisao Yamashita M.D., F.C.C.P.2

1 Department of Surgery, Keio University School of Medicine, Tokyo, Japan
2 Department of Radiology, Keio University School of Medicine

Since 1963, a total of 117 patients with cancer of cervical and thoracic esophagus were subjected to combined treatment with preoperative radiation and surgery, and the results obtained with this group were compared to those of surgery alone in 229 cases. Curative resectability of the radiation group increased up to 65.1 percent against the comparable 25.8 percent of the nonradiation group. The five-year survival rate of the radiation groups was increased up to 25 percent as compared to 13.6 percent of the nonradiation group. Our method of preoperative radiation was discussed in relation to the curative resection and changes in the mode of lymph node metastasis from pathologic standpoints. Our method of combined treatment for the esophageal cancer with preoperative radiation and surgery is an effective method of treatment at present, in order to extend the operative indication and curative resection, thus improving the results of the postoperative long-term survival rate.




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