Abstract | BACKGROUND: OBJECTIVE: To assess the long-term survival, complications, and recurrence of PDT for large superficial esophageal SCC. DESIGN: Retrospective study. SETTING: Tertiary referral center. PATIENTS: A total of 38 patients with superficial SCC of the esophagus. All patients had a large unifocal lesion or multifocal lesions that were too large to be resected endoscopically. In addition, all patients were physiologically unfit for esophagectomy or had refused surgery. INTERVENTIONS: MAIN OUTCOME MEASUREMENTS: Clinical follow-up, long-term survival, complications, and recurrence were evaluated. RESULTS: Thirty-one patients (82%) had mucosal cancer (T1m), and 7 (18%) had submucosal cancer (T1sm). No patient had lymph node involvement. Nineteen patients had other primary malignancies. Complete remission was achieved in 33 (87%). At the time of writing, 28 patients (74%) were alive without recurrence. After a median follow-up period of 64 months (range, 7-125 months) after PDT, the overall 5-year survival rate was 76%. There was no treatment-related mortality. LIMITATIONS: Retrospective study with a small number of patients. CONCLUSIONS: This long-term follow-up study revealed that PDT was a potentially curative treatment for large superficial esophageal SCC. PDT might be a reasonable alternative to esophagectomy or to endoscopic resection for patients with superficial SCC of the esophagus without lymph node metastasis.
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Authors | Toshiaki Tanaka, Satoru Matono, Takeshi Nagano, Kazutaka Murata, Susumu Sueyoshi, Hideaki Yamana, Kazuo Shirouzu, Hiromasa Fujita |
Journal | Gastrointestinal endoscopy
(Gastrointest Endosc)
Vol. 73
Issue 1
Pg. 1-6
(Jan 2011)
ISSN: 1097-6779 [Electronic] United States |
PMID | 21074765
(Publication Type: Journal Article)
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Copyright | Copyright © 2011 American Society for Gastrointestinal Endoscopy. Published by Mosby, Inc. All rights reserved. |
Chemical References |
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Carcinoma, Squamous Cell
(drug therapy, pathology)
- Dihematoporphyrin Ether
(therapeutic use)
- Disease-Free Survival
- Esophageal Neoplasms
(drug therapy, pathology)
- Esophagoscopy
- Female
- Follow-Up Studies
- Humans
- Kaplan-Meier Estimate
- Male
- Middle Aged
- Photochemotherapy
- Recurrence
- Retrospective Studies
- Survival Rate
- Treatment Outcome
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