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. 1997 Mar;113(3):540-4.
doi: 10.1016/S0022-5223(97)70368-4.

Occult cervical nodal metastasis in esophageal cancer: preliminary results of three-field lymphadenectomy

N K Altorki  1 , D B Skinner
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Free article

Occult cervical nodal metastasis in esophageal cancer: preliminary results of three-field lymphadenectomy

N K Altorki et al. J Thorac Cardiovasc Surg. 1997 Mar.
Free article

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.

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