Document Detail

Do Tumor Grade and Location Affect Survival in Esophageal Squamous Cell Carcinoma? Survival Analysis of 302 Cases of pT3N0M0 Esophageal Squamous Cell Carcinoma.
MedLine Citation:
PMID:  23015029     Owner:  NLM     Status:  Publisher    
BACKGROUND: The 7th edition of the American Joint Committee on Cancer (AJCC) cancer staging manual incorporates tumor grade and location for staging pT2-3N0M0 esophageal squamous cell carcinoma. Patients with pT3N0M0, classified as stage IIa according to the 6th edition of the AJCC cancer staging manual, can now be classified as stage Ib, IIa, or IIb. We aimed to discuss whether these changes affect survival and determine other potential prognostic factors. METHODS: We retrospectively analyzed 302 patients with postoperative pathologic stage T3N0M0 who underwent esophagectomy between 1990 and 2005 at Sun Yat-sen University Cancer Center. We performed univariate and multivariate analyses to identify prognostic factors for survival and used the Kaplan-Meier method to compare survival difference in each prognostic factor, including tumor grade and location. RESULTS: The 5-year overall survival rate was 46 %, with a median survival of 1,244.5 days. Gender, age, alcohol consumption, forced expiratory volume in 1 s (FEV1), and number of removed lymph nodes were independent prognostic factors in both univariate and multivariate analyses. Smoking was also a prognostic factor in survival analysis by the Kaplan-Meier method. However, histologic tumor grade and location had no significant influence on patient survival. CONCLUSIONS: Age, gender, alcohol consumption, FEV1, number of removed lymph nodes, and cigarette smoking are independent prognostic factors in patients with pT3N0M0 esophageal squamous cell carcinoma. However, tumor grade and location may not be as strong predictors in these patients as indicated in the 7th edition of the AJCC cancer staging manual.
Dongrong Situ; Weidong Wei; Peng Lin; Hao Long; Lanjun Zhang; Jianhua Fu; Tiehua Rong; Guowei Ma
Related Documents :
22994729 - Prognostic significance of overexpression of ezh2 and h3k27me3 proteins in gastric cancer.
24814339 - Squamous cell carcinoma of the parotid gland: a population-based analysis of 2545 cases.
24978359 - Favorable risk factors in patients with positive surgical margin after robot-assisted r...
23838139 - The overexpression of vegf in esophageal cancer is associated with a more advanced tmn ...
24057459 - The association of (18)f-fdg pet/ct parameters with survival in malignant pleural mesot...
9703399 - Long-term outcome of rotational acetabular osteotomy: 145 hips followed for 10-23 years.
20138229 - Dendritic cell count in the graft predicts relapse in patients with hematologic maligna...
7418349 - Optic nerve glioma.
1941059 - The effects of postinduction intensification treatment with cytarabine and daunorubicin...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-27
Journal Detail:
Title:  Annals of surgical oncology     Volume:  -     ISSN:  1534-4681     ISO Abbreviation:  Ann. Surg. Oncol.     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-9-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9420840     Medline TA:  Ann Surg Oncol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
State Key Laboratory of Oncology in South China, Cancer Center, Department of Thoracic Surgery, Sun Yat-sen University, Guangzhou, China.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Enhanced overcharge performance of nano-LiCoO(2) by novel Li(3)VO(4) surface coatings.
Next Document:  Differential haemostatic risk factors for pregnancy related deep vein thrombosis and pulmonary embol...