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Prevalence and location of nodal metastases in distal esophageal adenocarcinoma confined to the wall: Implications for therapy  John J. Nigro, MD, Jeffrey.

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Presentation on theme: "Prevalence and location of nodal metastases in distal esophageal adenocarcinoma confined to the wall: Implications for therapy  John J. Nigro, MD, Jeffrey."— Presentation transcript:

1 Prevalence and location of nodal metastases in distal esophageal adenocarcinoma confined to the wall: Implications for therapy  John J. Nigro, MD, Jeffrey A. Hagen, MD, Tom R. DeMeester, MD, Steven R. DeMeester, MD, Jeffrey H. Peters, MD, Stefan Öberg, MD, Jörg Theisen, MD, Milton Kiyabu, MD, Peter F. Crookes, MD, Cedric G. Bremner, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 117, Issue 1, Pages (January 1999) DOI: /S (99) Copyright © 1999 Mosby, Inc. Terms and Conditions

2 Fig. 1 Algorithm depicting approach in patients with carcinoma of the esophagus, demonstrating selection of operative technique. (From Hagen JA, DeMeester TR. En Bloc Esophagectomy for Cancer of the Distal Oesophagus, Cardia and Proximal Stomach. In: Jamieson GG, Debas HT, editors. Surgery of the Upper Gastrointestinal Tract. 5th ed. London: Chapman & Hall; p Published with permission.) The Journal of Thoracic and Cardiovascular Surgery  , 16-25DOI: ( /S (99) ) Copyright © 1999 Mosby, Inc. Terms and Conditions

3 Fig. 2 Lymph node staging map used to standardize node locations.
The Journal of Thoracic and Cardiovascular Surgery  , 16-25DOI: ( /S (99) ) Copyright © 1999 Mosby, Inc. Terms and Conditions

4 Fig. 3 Relationship between the frequency of node involvement by node station and tumors of varying depths in patients who had en bloc esophagectomy. The Journal of Thoracic and Cardiovascular Surgery  , 16-25DOI: ( /S (99) ) Copyright © 1999 Mosby, Inc. Terms and Conditions

5 Fig. 4 Relationship between the depth of tumor invasion and lymph node status and the likelihood of recurrence. The Journal of Thoracic and Cardiovascular Surgery  , 16-25DOI: ( /S (99) ) Copyright © 1999 Mosby, Inc. Terms and Conditions

6 Fig. 5 Relationship between depth of tumor invasion and the frequency of involved lymph nodes after en bloc and transhiatal esophagectomy. The Journal of Thoracic and Cardiovascular Surgery  , 16-25DOI: ( /S (99) ) Copyright © 1999 Mosby, Inc. Terms and Conditions

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