Journal of the American College of Surgeons
The most recent articles from:
J. Am. Coll. Surg.
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The mode of recurrence after esophagectomy for esophageal cancer has seldom been studied in detail from autopsy findings. ⋯ This study showed the characteristics of recurrence after esophagectomy for esophageal cancer. Despite esophagectomy with lymph node dissection, the frequency of each mode of recurrence was remarkably high. Anatomic difficulty of complete removal of lymph nodes by surgical procedures was suggested. Hematogenous metastases and serosal carcinomatosis were beyond surgical resection. More effective multimodal therapy will be required to improve survival of esophageal cancer patients.