Outcome of superficial squamous cell carcinoma of the esophagus: a clinicopathological study

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dc.contributor.authorHenry, Maria Aparecida Coelho de Arruda [UNESP]
dc.contributor.authorLerco, Mauro Masson [UNESP]
dc.contributor.authorNaresse, Luiz Eduardo [UNESP]
dc.contributor.authorCrema, Eduardo
dc.contributor.authorRodrigues, Maria Aparecida Marchesan [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionTriangulo Mineiro University Faculty of Medicine Department of Surgery, Gastroenterology Surgery Division
dc.date.accessioned2014-05-20T15:14:03Z
dc.date.available2014-05-20T15:14:03Z
dc.date.issued2013-05-01
dc.description.abstractPURPOSE: To analyze the clinicopathological features and outcome of patients with pathologically proven superficial squamous cell carcinoma of the esophagus. METHODS: A total of 234 consecutive cases of esophageal carcinoma in a 15-year period were reviewed. RESULTS: Superficial esophageal cancer was found in five patients (2.1%). They were four men and one woman and the mean age was 52.5 years. Smoking and alcohol were the main risk factors. Achalasia due to Chagas disease occurred in one patient and a second primary tumor developed in the larynx in another patient. Four patients underwent esophagectomy and one patient received chemoradiotherapy. The histopathologic diagnosis was of squamous cell carcinoma in all cases. Intramucosal tumor (Tis) was identified in three cases and superficially invasive carcinoma in two cases. Four patients are free of disease with survival times of two, four, six and nine years. The patient who developed laryngeal cancer died six years after esophagectomy. CONCLUSION: Long-term survival in patients with esophageal cancer is related to early diagnosis. Therefore, a less aggressive surgical approach, such as endoscopic resection, may be a good option for these patients, if depth of tumor invasion can be accurately predicted by the new imaging tools.en
dc.description.affiliationUNESP Botucatu Medical School Department of Surgery
dc.description.affiliationTriangulo Mineiro University Faculty of Medicine Department of Surgery, Gastroenterology Surgery Division
dc.description.affiliationUNESP Botucatu Medical School Investigative Pathology Division
dc.description.affiliationUnespUNESP Botucatu Medical School Department of Surgery
dc.description.affiliationUnespUNESP Botucatu Medical School Investigative Pathology Division
dc.format.extent373-378
dc.identifierhttp://dx.doi.org/10.1590/S0102-86502013000500009
dc.identifier.citationActa Cirúrgica Brasileira. Sociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia, v. 28, n. 5, p. 373-378, 2013.
dc.identifier.doi10.1590/S0102-86502013000500009
dc.identifier.fileS0102-86502013000500009.pdf
dc.identifier.issn0102-8650
dc.identifier.lattes3769255547738283
dc.identifier.lattes4728690596167767
dc.identifier.scieloS0102-86502013000500009
dc.identifier.urihttp://hdl.handle.net/11449/29026
dc.identifier.wosWOS:000319994200009
dc.language.isoeng
dc.publisherSociedade Brasileira para o Desenvolvimento da Pesquisa em Cirurgia
dc.relation.ispartofActa Cirúrgica Brasileira
dc.relation.ispartofjcr0.933
dc.relation.ispartofsjr0,395
dc.rights.accessRightsAcesso aberto
dc.sourceSciELO
dc.subjectCarcinomaen
dc.subjectSquamous Cellen
dc.subjectEsophageal Neoplasmsen
dc.subjectEarly Detection of Canceren
dc.titleOutcome of superficial squamous cell carcinoma of the esophagus: a clinicopathological studyen
dc.typeArtigo
unesp.author.lattes3769255547738283
unesp.author.lattes4728690596167767
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

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