Characteristics of recurrence after radical esophagectomy with two-field lymph node dissection for thoracic esophageal cancer

  • Authors:
    • Cheng-Lin Li
    • Fu-Li Zhang
    • Ya-Di Wang
    • Chun Han
    • Guo-Gui Sun
    • Qing Liu
    • Yun-Jie Cheng
    • Shao-Wu Jing
    • Cong-Rong Yang
  • View Affiliations

  • Published online on: October 1, 2012     https://doi.org/10.3892/ol.2012.946
  • Pages: 355-359
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Abstract

Postoperative radiotherapy has shown positive efficacy in lowering the recurrence rate and improving the survival rate in cases involving lymph node (LN) metastasis. However, the radiotherapy target volume remains controversial. Certain published studies have paid more attention to LNs found to be affected during surgery, while little effort has been made to study the LN metastatic pattern following surgery and its influence on the determination of the target volume of postoperative radiotherapy. In this study, the locoregional recurrence of esophageal squamous cell cancer was examined in 134 patients receiving radical surgery with two-field lymph node dissection from 2004 to 2009. In the 134 cases of recurrence, LN metastasis occurred in 126 patients (94.0%) while 13 patients (9.7%) developed anastomotic recurrence and 5 patients (3.7%) experienced tumor bed recurrence. The difference among the groups was statistically significant (P=0.000). In the 126 cases with lymph node metastasis, the mediastinal metastasis rate (80.2%) was significantly higher compared with the rate of supraclavicular metastasis and abdominal metastasis (P=0.000). A significant difference was identified between right and left supraclavicular LN metastasis (31.7% vs 16.7%, P=0.005). Furthermore, the difference between the metastatic rates in the upper (73.8%), middle (39.7%) and lower mediastinum (1.6%) was statistically significant (P=0.000). Nevertheless, no significant correlation between the rate of LN metastasis was observed in the supraclavicular, mediastinal and abdominal regions for upper, middle and lower thoracic carcinomas (P=0.404, P=0.718 and P=0.169, respectively). Based on our data, LN metastasis is the major locoregional recurrence pattern for esophageal squamous cell cancer following radical surgery. The high-risk lymphatic drainage areas include the supraclavicular nodes, recurrent laryngeal nerve nodes, azygos nodes and subcarinal nodes.
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January 2013
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Spandidos Publications style
Li C, Zhang F, Wang Y, Han C, Sun G, Liu Q, Cheng Y, Jing S and Yang C: Characteristics of recurrence after radical esophagectomy with two-field lymph node dissection for thoracic esophageal cancer. Oncol Lett 5: 355-359, 2013
APA
Li, C., Zhang, F., Wang, Y., Han, C., Sun, G., Liu, Q. ... Yang, C. (2013). Characteristics of recurrence after radical esophagectomy with two-field lymph node dissection for thoracic esophageal cancer. Oncology Letters, 5, 355-359. https://doi.org/10.3892/ol.2012.946
MLA
Li, C., Zhang, F., Wang, Y., Han, C., Sun, G., Liu, Q., Cheng, Y., Jing, S., Yang, C."Characteristics of recurrence after radical esophagectomy with two-field lymph node dissection for thoracic esophageal cancer". Oncology Letters 5.1 (2013): 355-359.
Chicago
Li, C., Zhang, F., Wang, Y., Han, C., Sun, G., Liu, Q., Cheng, Y., Jing, S., Yang, C."Characteristics of recurrence after radical esophagectomy with two-field lymph node dissection for thoracic esophageal cancer". Oncology Letters 5, no. 1 (2013): 355-359. https://doi.org/10.3892/ol.2012.946