Usami S, Motoyama S, Maruyama K, Sato Y, Shibuya K H, Nakatsu T, Saito H, Minamiya Y, Ogawa J
Department of Surgery, Akita University School of Medicine, Akita, Japan.
Eur Surg Res. 2010;45(1):41-4. doi: 10.1159/000318589. Epub 2010 Aug 24.
We report 2 cases of small cell carcinoma of the esophagus treated with esophagectomy as a primary treatment and following chemotherapy. One patient (pT1N1M0) achieved long-term survival, while the other patient (pT1N1M1-lym) died 18 months after surgery. We used reports on 47 Japanese patients receiving esophagectomy as a primary treatment to determine when esophagectomy for small cell carcinoma of the esophagus is indicated. We conclude that esophagectomy as a local treatment provides relatively good long-term survival only in patients without lymph node involvement.
我们报告了2例原发性食管小细胞癌患者，他们接受了食管切除术作为初始治疗，并随后接受了化疗。1例患者（pT1N1M0）获得了长期生存，而另1例患者（pT1N1M1-lym）在术后18个月死亡。我们利用47例接受食管切除术作为初始治疗的日本患者的报告，来确定何时适合对食管小细胞癌进行食管切除术。我们得出结论，作为一种局部治疗方法，食管切除术仅在无淋巴结受累的患者中能提供相对较好的长期生存。
