Carcinoma of the oesophagus: Factors influencing survival

1 A series of 191 cases of carcinoma of the oesophagus is presented. The 77 cases (middle and lower third) treated by complete oesophagectomy are studied in detail. 2 Evidence for the existence of an immune reaction by the patient against the tumour is found. 3 This immune reaction has a favourable...

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Veröffentlicht in:British journal of surgery 1970-06, Vol.57 (6), p.422-430
Hauptverfasser: Younghusband, J. D., Aluwihare, A. P. R.
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Aluwihare, A. P. R.
description 1 A series of 191 cases of carcinoma of the oesophagus is presented. The 77 cases (middle and lower third) treated by complete oesophagectomy are studied in detail. 2 Evidence for the existence of an immune reaction by the patient against the tumour is found. 3 This immune reaction has a favourable effect on the prognosis, even in the presence of other unfavourable features. Delay in diagnosis does not affect the prognosis. 4 It is suggested that the presence of this reaction, as detected by a study of the resected specimen after oesophagectomy, might be used to determine the selective use of post‐operative radiotherapy in an attempt to improve the prognosis in this disease.
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subjects Adenocarcinoma - mortality
Adult
Aged
Carcinoid Tumor - mortality
Carcinoma, Basal Cell - mortality
Carcinoma, Squamous Cell - mortality
Esophageal Neoplasms - immunology
Esophageal Neoplasms - mortality
Esophageal Neoplasms - pathology
Esophageal Neoplasms - radiotherapy
Esophageal Neoplasms - surgery
Female
Humans
Lymphatic Metastasis
Male
Middle Aged
Prognosis
title Carcinoma of the oesophagus: Factors influencing survival
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