Combined assessment of clinical and pathological prognostic factors for deciding treatment strategies for esophageal squamous cell carcinoma invading into the muscularis mucosa or submucosa after endoscopic submucosal dissection

Objectives We aimed to clarify the prognostic factors for patients with esophageal squamous cell carcinoma (ESCC) invading into the muscularis mucosa (pT1a‐MM) or submucosa (pT1b‐SM) after endoscopic submucosal dissection (ESD). Methods This retrospective study enrolled such patients at 21 instituti...

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Veröffentlicht in:Digestive endoscopy 2022-11, Vol.34 (7), p.1382-1391
Hauptverfasser: Shimada, Tomohiro, Hatta, Waku, Takahashi, So, Koike, Tomoyuki, Ohira, Tetsuya, Hikichi, Takuto, Toya, Yosuke, Tanaka, Ippei, Onozato, Yusuke, Hamada, Koichi, Fukushi, Daisuke, Watanabe, Ko, Kayaba, Shoichi, Ito, Hirotaka, Mikami, Tatsuya, Oikawa, Tomoyuki, Takahashi, Yasushi, Kondo, Yutaka, Yoshimura, Tetsuro, Shiroki, Takeharu, Nagino, Ko, Hanabata, Norihiro, Funakubo, Akira, Nakamura, Jun, Matsumoto, Takayuki, Iijima, Katsunori, Fukuda, Shinsaku, Masamune, Atsushi, Ito, Kei, Harada, Yoshihiro, Yamagata, Taku, Koike, Yoshiki, Ogata, Yohei, Abe, Hiroko, Matsuhashi, Tamotsu, Takasumi, Mika, Hashimoto, Minami, Kato, Tsunetaka, Hirasawa, Dai, Sasaki, Yu, Yagi, Makoto, Abe, Yasuhiko, Horikawa, Yoshinori, Satoh, Kennichi, Satoh, Itaru, Ishihata, Ryoichi, Ishiyama, Fumitake, Shinkai, Hirohiko, Ohyauchi, Motoki, Tatsuta, Tetsuya, Kikuchi, Hidezumi, Chinda, Daisuke, Iwai, Wataru, Noguchi, Tetsuya, Miyazaki, Takefumi, Ara, Nobuyuki, Ohara, Shuichi, Fushiya, Jun, Takeda, Hiroaki, Shirahata, Nakao, Fujishima, Shoichiro, Shibukawa, Goro
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Sprache:eng
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Zusammenfassung:Objectives We aimed to clarify the prognostic factors for patients with esophageal squamous cell carcinoma (ESCC) invading into the muscularis mucosa (pT1a‐MM) or submucosa (pT1b‐SM) after endoscopic submucosal dissection (ESD). Methods This retrospective study enrolled such patients at 21 institutions in Japan between 2006 and 2017. We evaluated 15 factors, including pathological risk categories for ESCC‐specific mortality, six non‐cancer‐related indices, and treatment strategies. Results In the analysis of 593 patients, the 5‐year overall and disease‐specific survival rates were 83.0% and 97.6%, respectively. In a multivariate Cox analysis, male sex (hazard ratio [HR] 3.56), Charlson comorbidity index (CCI) ≥3 (HR 2.53), ages of 75–79 (HR 1.61) and ≥80 years (HR 2.04), prognostic nutrition index (PNI)
ISSN:0915-5635
1443-1661
DOI:10.1111/den.14378