The prevalence of lymph node metastasis for pathological T1 esophageal cancer: a retrospective study of 143 cases

To evaluate the prevalence, pattern and risk factors of lymph node metastasis (LNM) for pathological T1 (pT1) esophageal cancer (EC). The clinical data of 143 cases of pT1 patients who underwent esophagectomy and lymph node dissection during January 2011 and July 2016 were reviewed, including 120 ma...

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Bibliographic Details
Published in:Surgical oncology 2018-03, Vol.27 (1), p.1-6
Main Authors: Duan, Xiao-Feng, Tang, Peng, Shang, Xiao-Bin, Jiang, Hong-Jing, Yu, Zhen-Tao
Format: Article
Language:English
Subjects:
Accuracy
Adult
Aged
Biopsy
Cancer
Carcinoma, Squamous Cell - secondary
Carcinoma, Squamous Cell - surgery
Cervix
China
Decision making
Differentiation
Dissection
Endoscopy
Esophageal cancer
Esophageal Neoplasms - pathology
Esophageal Neoplasms - surgery
Esophagectomy
Esophagus
Female
Follow-Up Studies
Heart diseases
Humans
Infiltration
Lymph
Lymph Node Excision
Lymph node metastasis
Lymph nodes
Lymphatic Metastasis
Lymphatic system
Male
Medical prognosis
Metastases
Metastasis
Middle Aged
Neoplasm Invasiveness
Nomogram
Nomograms
Patients
Prevalence
Prognosis
pT1 stage
Regression analysis
Regression models
Retrospective Studies
Risk analysis
Risk factor
Risk factors
Statistical analysis
Surgery
Systematic review
Thorax
Tomography
Tumors
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Summary:To evaluate the prevalence, pattern and risk factors of lymph node metastasis (LNM) for pathological T1 (pT1) esophageal cancer (EC). The clinical data of 143 cases of pT1 patients who underwent esophagectomy and lymph node dissection during January 2011 and July 2016 were reviewed, including 120 male patients and 23 female patients with a median age of 60 years. The pattern of LNM was analyzed and the risk factors related to LNM were assessed by logistic regression analysis. The nomogram model was used to estimate the individual risk of lymph node metastasis. Of 143 patients with T1 tumors, 25 patients had LNM, and the LNM rate was 17.5%. The LNM rate was 8.0% for T1a tumors, and 22.5% for T1b tumors. The logistic regression analysis showed that the depth of tumor infiltration (P 
ISSN:0960-7404
1879-3320
DOI:10.1016/j.suronc.2017.11.002