RECURRENCE PATTERN IN PATIENTS WITH ADC, SIEWERT TYPES I AND II

Authors

  • Florentina Menezes Interna de formação específica de Cirurgia Geral do Hospital Central do Funchal
  • Paulo Ramos Assistente hospitalar de Cirurgia Geral do Instituto Português de Oncologia Francisco Gentil de Lisboa, EPE
  • Cecília Monteiro Assistente hospitalar de Cirurgia Geral do Instituto Português de Oncologia Francisco Gentil de Lisboa, EPE
  • Rui Casaca Assistente hospitalar graduado de Cirurgia Geral do Instituto Português de Oncologia Francisco Gentil de Lisboa, EPE
  • Nuno Abecacis Diretor de Serviço de Cirurgia Geral do Instituto Português de Oncologia Francisco Gentil de Lisboa, EPE

DOI:

https://doi.org/10.34635/rpc.780

Keywords:

Siewert classification, esophagectomy, esophagogastric junction, thoracic lymphadenectomy, local recurrence

Abstract

Aim: This study sought to determine the recurrence pattern of adenocarcinoma of the esophagogastric junction (AEG) after radical resection.

Patients and Methods: We retrospectively analyzed the clinical database that was propectively updated of 108 consecutive patients with Siewert type I, I/II, and II AEGs who underwent curative resection (R0) at the Institute of Portuguese Oncology in Lisbon.

Results: Recurrence occurred in 20 patients, most of them in type I / II tumors. The median time to recurrence detection was 12 months. We found locoregional recurrences in only 4 patients.

Conclusion: The surgical approach and respective lymphadenectomy used for type I, I / II and II tumours seems appropriate, since the reported local recurrence rate is low (3,7%.). 

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Published

2020-09-30

Issue

No. 48 (2020): Number 48 - September 2020

Section

Original Papers

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