Esophageal carcinoma: Twelve years experience
Keywords:
Esophageal carcinoma, cancerAbstract
Esophageal carcinoma is one of the malignant disease commonly found in the South of Thailand. This report is a retrospective study of esophageal carcinoma in one referal center of the Northeast of Thailand.
A total 55 cases of esophageal carcinoma were treated at our unit between August 1982 and December 1994. Among these patients, the ratio between male and female was 3.2 to 1 and the average age was 59.2 years. All of the patients were advanced stage (III, IV).
The common sites of tumor were in the mid thoracic esophagus (34.5%), The pathological findings were squamous cell carcinoma (27 cases), adenocarcinoma (12 cases) and no record 16 cases. Fifty three cases were operated and 2 cases were treated only by radiotherapy. In the operated group, 8 cases died (15%) from sepsis and acute myocardial infarction. The long term follow up (39/55 cases) showed that 2 cases survived for 5 years or more and the others survived between one month and twelve months
Surviving surgical patients who were treated by resection or by pass operation (39/53 or 73.5%) can by supported by oral nutrition by themselves. Surgical treatment by skillful surgeon and complete tumor resection should be the proper management of esophageal carcinoma even in advances cases.
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