HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Nasser K. Altorki David B. Skinner Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Altorki, N. K. Articles by Skinner, D. B. Search for Related Content PubMed PubMed Citation Articles by Altorki, N. K. Articles by Skinner, D. B.

J Thorac Cardiovasc Surg 1997;113:540-544
© 1997 Mosby, Inc.

GENERAL THORACIC SURGERY

OCCULT CERVICAL NODAL METASTASIS IN ESOPHAGEAL CANCER: PRELIMINARY RESULTS OF THREE-FIELD LYMPHADENECTOMY

Received for publication June 24, 1996 revisions requested August 21, 1996; revisions received Sept. 11, 1996 accepted for publication Sept. 12, 1996. Address for reprints: Nasser K. Altorki, MD, New York Hospital–Cornell Medical Center, 525 E. 68th St., Room F-2212, New York, NY 10021.

Abstract

The extent of lymphadenectomy for carcinoma of the thoracic esophagus remains debatable. A prospective study was initiated in August 1994 to evaluate the patterns of nodal spread after esophagectomy with three-field lymph node dissection. The hospital mortality rate was 3.3%. Nodal metastases occurred in 73% (22/30) of patients. The most commonly affected nodal groups were the lesser curvature nodes (57%), parahiatal nodes (42%), and the right recurrent nodes (35%). Cervical nodal metastasis occurred in 10 patients (35%) irrespective of tumor location or T status. The cervical field of dissection was as likely as the mediastinum to be a site of nodal disease. These findings should be considered when the operative strategy for esophageal carcinoma is planned.

This article has been cited by other articles:

				S. Komatsu, Y. Ueda, D. Ichikawa, H. Fujiwara, K. Okamoto, S. Kikuchi, A. Shiozaki, K. Imura, R. Ohsawa, T. Ochiai, et al. Prognostic and Clinical Evaluation of Axillary Lymph Node Metastasis in Esophageal Cancer Jpn. J. Clin. Oncol., April 1, 2007; 37(4): 314 - 318. [Abstract] [Full Text] [PDF]

				D. K. Dhar, S. Hattori, Y. Tonomoto, T. Shimoda, H. Kato, M. Tachibana, K. Matsuura, Y. Mitsumoto, A. G. Little, and N. Nagasue Appraisal of a Revised Lymph Node Classification System for Esophageal Squamous Cell Cancer Ann. Thorac. Surg., April 1, 2007; 83(4): 1265 - 1272. [Abstract] [Full Text] [PDF]

				S. M. Park, M. K. Lim, S. A. Shin, and Y. H. Yun Impact of Prediagnosis Smoking, Alcohol, Obesity, and Insulin Resistance on Survival in Male Cancer Patients: National Health Insurance Corporation Study J. Clin. Oncol., November 1, 2006; 24(31): 5017 - 5024. [Abstract] [Full Text] [PDF]

				S. M. Lagarde, F. J.W. ten Kate, J. B. Reitsma, O. R.C. Busch, and J. J. B. van Lanschot Prognostic Factors in Adenocarcinoma of the Esophagus or Gastroesophageal Junction J. Clin. Oncol., September 10, 2006; 24(26): 4347 - 4355. [Abstract] [Full Text] [PDF]

				C. P. Parungo, S. Ohnishi, S.-W. Kim, S. Kim, R. G. Laurence, E. G. Soltesz, F. Y. Chen, Y. L. Colson, L. H. Cohn, M. G. Bawendi, et al. Intraoperative identification of esophageal sentinel lymph nodes with near-infrared fluorescence imaging J. Thorac. Cardiovasc. Surg., April 1, 2005; 129(4): 844 - 850. [Abstract] [Full Text] [PDF]

				M. Koshy, N. Esiashvilli, J. C. Landry, C. R. Thomas Jr., and R. H. Matthews Multiple Management Modalities in Esophageal Cancer: Epidemiology, Presentation and Progression, Work-up, and Surgical Approaches Oncologist, April 1, 2004; 9(2): 137 - 146. [Abstract] [Full Text] [PDF]

				M. Tachibana, S. Kinugasa, H. Yoshimura, D. K. Dhar, and N. Nagasue Extended Esophagectomy With 3-Field Lymph Node Dissection for Esophageal Cancer Arch Surg, December 1, 2003; 138(12): 1383 - 1389. [Abstract] [Full Text] [PDF]

				W. Schroder, S.P. Monig, S.E. Baldus, C. Gutschow, P.M. Schneider, and A.H. Holscher Frequency of Nodal Metastases to the Upper Mediastinum in Barrett's Cancer Ann. Surg. Oncol., October 1, 2002; 9(8): 807 - 811. [Abstract] [Full Text] [PDF]

				F. Sato, Y. Shimada, Z. Li, M. Kano, G. Watanabe, M. Maeda, A. Kawabe, J. Kaganoi, A. Itami, S. Nagatani, et al. Paratracheal Lymph Node Metastasis Is Associated With Cervical Lymph Node Metastasis in Patients With Thoracic Esophageal Squamous Cell Carcinoma Ann. Surg. Oncol., January 1, 2002; 9(1): 65 - 70. [Abstract] [Full Text] [PDF]

				J. A. Hagen and T. R. DeMeester Esophageal adenocarcinoma Ann. Thorac. Surg., October 1, 2001; 72(4): 1430 - 1432. [Full Text] [PDF]

				W. Fang, H. Igaki, Y. Tachimori, H. Sato, H. Daiko, and H. Kato Three-field lymph node dissection for esophageal cancer in elderly patients over 70 years of age Ann. Thorac. Surg., September 1, 2001; 72(3): 867 - 871. [Abstract] [Full Text] [PDF]

				H. Igaki, H. Kato, Y. Tachimori, H. Sato, H. Daiko, and Y. Nakanishi Prognostic evaluation for squamous cell carcinomas of the lower thoracic esophagus treated with three-field lymph node dissection Eur. J. Cardiothorac. Surg., June 1, 2001; 19(6): 887 - 893. [Abstract] [Full Text] [PDF]

				Y. Nagamatsu, I. Shima, H. Yamana, H. Fujita, K. Shirouzu, and T. Ishitake Preoperative evaluation of cardiopulmonary reserve with the use of expired gas analysis during exercise testing in patients with squamous cell carcinoma of the thoracic esophagus J. Thorac. Cardiovasc. Surg., June 1, 2001; 121(6): 1064 - 1068. [Abstract] [Full Text] [PDF]

				W. Fang, H. Kato, W. Chen, Y. Tachimori, H. Igaki, and H. Sato Comparison of Surgical Management of Thoracic Esophageal Carcinoma Between Two Referral Centers in Japan and China Jpn. J. Clin. Oncol., May 1, 2001; 31(5): 203 - 208. [Abstract] [Full Text] [PDF]

				S. Kinugasa, M. Tachibana, H. Yoshimura, D. K. Dhar, M. Shibakita, S. Ohno, H. Kubota, R. Masunaga, and N. Nagasue Esophageal resection in elderly esophageal carcinoma patients: improvement in postoperative complications Ann. Thorac. Surg., February 1, 2001; 71(2): 414 - 418. [Abstract] [Full Text] [PDF]

				C.-P. Hsu, C.-Y. Chen, J.-Y. Hsia, and S.-E. Shai Prediction of prognosis by the extent of lymph node involvement in squamous cell carcinoma of the thoracic esophagus Eur. J. Cardiothorac. Surg., January 1, 2001; 19(1): 10 - 13. [Abstract] [Full Text] [PDF]

				C. E. Reed Surgical Management of Esophageal Carcinoma Oncologist, April 1, 1999; 4(2): 95 - 105. [Abstract] [Full Text]

				Y. Tabira, T. Okuma, K. Kondo, and N. Kitamura INDICATIONS FOR THREE-FIELD DISSECTION FOLLOWED BY ESOPHAGECTOMY FOR ADVANCED CARCINOMA OF THE THORACIC ESOPHAGUS J. Thorac. Cardiovasc. Surg., February 1, 1999; 117(2): 239 - 245. [Abstract] [Full Text] [PDF]

				Y. Tachimori, H. Kato, and H. Watanabe SURGERY FOR THORACIC ESOPHAGEAL CARCINOMA WITH CLINICALLY POSITIVE CERVICAL NODES J. Thorac. Cardiovasc. Surg., December 1, 1998; 116(6): 954 - 959. [Abstract] [Full Text] [PDF]

				T. Matsubara Is cervical involvement a sign of incurable disease in cancer of the thoracic esophagus? J. Thorac. Cardiovasc. Surg., May 1, 1998; 115(5): 1224 - 1225. [Full Text]

				N. K. Altorki, L. Girardi, and D. B. Skinner EN BLOC ESOPHAGECTOMY IMPROVES SURVIVAL FOR STAGE III ESOPHAGEAL CANCER J. Thorac. Cardiovasc. Surg., December 1, 1997; 114(6): 948 - 956. [Abstract] [Full Text]