Journal
EUROPEAN JOURNAL OF SURGICAL ONCOLOGY
Volume 29, Issue 6, Pages 506-510Publisher
W B SAUNDERS CO LTD
DOI: 10.1016/S0748-7983(03)00098-2
Keywords
gastro-oesophageal junction adenocarcinoma; Siewert classification; surgical treatment; recurrence
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Aims: This study reports mode, timing and predictive factors of recurrence after curative surgery for cardia cancer. Methods: A prospective study in a series of 92 curatively (R0) resected patients from 1988 to 2002. Results: The 5-year recurrence rate was 71%. Lymph node involvement was the only predictor of recurrence. No patients with more than 6 metastatic nodes were free from relapse 2 years after surgery. Locoregional, peritoneal and haematogenous relapses showed a similar median recurrence time (12, 10 and 12 months, respectively), 80% occurred within 24 months. Conclusions: Few patients can be cured by surgery, lymph nodal involvement is the only predictor of recurrence. (C) 2003 Elsevier Science Ltd. All rights reserved.
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