Evidence map›Paper›PMID 29742891›Full record

ArticleThe Korean journal of internal medicine2021

Clinical analysis of 117 cases with synchronous multiple primary esophageal squamous cell carcinomas.

Zhiqin Chen, Sihan Li, Zheng He, Guang Li

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Article in The Korean journal of internal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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6citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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6 citing papers in PubMed.

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5 · Who and what money

Authors and funding

4 authors.

Zhiqin ChenDepartment of Radiation Oncology, The First Hospital of China Medical University, Shenyang, China.
Sihan LiDepartment of Radiation Oncology, The First Hospital of China Medical University, Shenyang, China.
Zheng HeDepartment of Radiation Oncology, The First Hospital of China Medical University, Shenyang, China.
Guang LiDepartment of Radiation Oncology, The First Hospital of China Medical University, Shenyang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsWe aimed to study the clinical characteristics, treatment modality, and the prognosis of synchronous multiple primary esophageal squamous cell carcinomas (SMPESCC).

methodsA total of 117 SMPESCC cases were evaluated retrospectively from 2010 to 2015.

resultsThe most common locations of SMPESCC were mid- and lower thoracic segments (n = 208, 84.9%). The 1-, 2-, and 3-year overall survival rates were 53.8%, 30.8%, and 15.4%, respectively; the median survival time (MST) was 12.5 months. With definitive radiotherapy and surgery, respectively, the MST of stage I/II patients were 34.2 and 26.7 months, of stage III patients were 8.3 and 13.2 months (p = 0.163), and of stage IV patients were and 8 and 12.6 months (p = 0.379). Clinical stage, family history of cancer, and Karnofsky performance status were independent prognostic factors for the whole cohort by Cox multivariate regression analysis (hazard ratio [HR] = 0.859, p < 0.001; HR = 0.579, p = 0.032; and HR = 0.586, p = 0.013).

conclusionAlthough the prognosis of SMPESCC is poor, stage I/II patients can achieve long-term survival with aggressive treatment, especially those with a Karnofsky performance score 90 or higher and who have no family history of cancer. Definitive radiotherapy could achieve a similar survival rate to definitive surgery at different clinical stages.

Indexed as

Esophageal NeoplasmsEsophageal Squamous Cell CarcinomaNeoplasms, Multiple PrimaryCombined Modality TherapyHumansRetrospective StudiesDefinitive therapyEsophageal carcinomaMultiple lesionsPrognosisSynchronous cancer

Identifiers

PMID29742891
PMCPMC8588987

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