Clinical outcome of cervical esophageal cancer treated with laryngectomy

DOI Web Site 9 References
  • Murashima Akihiro
    Department of Otorhinolaryngology, Head and Neck Surgery, Nagoya City University Graduate School of Medical Sciences
  • Kawakita Daisuke
    Department of Otorhinolaryngology, Head and Neck Surgery, Nagoya City University Graduate School of Medical Sciences
  • Matoba Takuma
    Department of Otorhinolaryngology, Head and Neck Surgery, Nagoya City University Graduate School of Medical Sciences
  • Takano Gaku
    Department of Otorhinolaryngology, Nagoya City University West Medical Center
  • Oguri Keisuke
    Department of Otorhinolaryngology, Anjo Kosei Hospital
  • Minohara Kiyoshi
    Department of Otorhinolaryngology, Head and Neck Surgery, Nagoya City University Graduate School of Medical Sciences
  • Iwaki Sho
    Department of Otorhinolaryngology, Head and Neck Surgery, Nagoya City University Graduate School of Medical Sciences
  • Tsuge Hiroshi
    Department of Otorhinolaryngology, Head and Neck Surgery, Nagoya City University Graduate School of Medical Sciences
  • Imaizumi Sae
    Department of Head and Neck Oncology, The Cancer Institute Hospital of the Japanese Foundation for Cancer Research
  • Kondo Ayano
    Department of Otorhinolaryngology, Kainan Hospital
  • Tsukamoto Koji
    Department of Head and Neck Surgery, Aichi Cancer Center Hospital
  • Tanaka Tatsuya
    Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences
  • Ogawa Ryo
    Department of Gastroenterological Surgery, Nagoya City University Graduate School of Medical Sciences
  • Iwasaki Shinichi
    Department of Otorhinolaryngology, Head and Neck Surgery, Nagoya City University Graduate School of Medical Sciences

Bibliographic Information

Other Title
  • 喉頭摘出術を併施した頸部食道癌例
  • —The roles of head and neck surgery
  • —頭頸部外科の役割に関する考察—

Abstract

Cervical esophageal cancer is a rare disease that accounts for approximately 5% of all esophageal cancers. Since laryngectomy is necessary in cases of head-side extension and cervical lymph node metastasis is common due to the anatomical site, cooperation between head and neck surgery and esophageal surgery is essential. In our hospital, head and neck surgery is in charge of neck operations when laryngectomy and neck dissection are required. We performed a retrospective study of 25 cases of cervical esophageal cancer operated on at Nagoya City University Hospital from 2017 to 2022, of which 15 cases were operated jointly with our department. The median age was 69 years; 12 were male and 3 were female. All patients had squamous cell carcinoma, and the clinical stage was stage Ⅰ in 2 cases, stage Ⅱ in 5 cases, stage Ⅲ in 7 cases, and stage Ⅳa in 1 case. In seven of the 15 cases removal of the cancer was possible only by neck surgery. Among all cases, the two-year overall survival rate was 33.3%, and the two-year disease-free survival rate was also 33.3%. Local recurrence was observed in 7 patients and distant metastasis in 3. Postoperative complications were observed in 9 patients, including tracheal necrosis in one patient, which required treatment. Cooperation between esophageal and head and neck surgery is important in the treatment of cervical esophageal cancer.

Journal

  • Toukeibu Gan

    Toukeibu Gan 49 (3), 262-266, 2023

    Japan Society for Head and Neck Cancer

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