Academic Journal
Increased resected lymph node stations improved survival of esophageal squamous cell carcinoma
| العنوان: | Increased resected lymph node stations improved survival of esophageal squamous cell carcinoma |
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| المؤلفون: | Lu, Run-Da, Wei, Zheng-Dao, Liu, Yi-Xin, Tian, Dong, Zhang, Han-Lu, Shang, Qi-Xin, Hu, Wei-Peng, Yang, Lin, Yang, Yu-Shang, Chen, Long-Qi |
| المساهمون: | 1•3•5 project for disciplines of excellence–Clinical Research Incubation Project, Regional Innovation and Collaboration projects of Sichuan Provincial Department of Science and Technology, National Natural Science Foundation Regional Innovation and Development, National Nature Science Foundation of China, key projects of Sichuan Provincial Department of Science and Technology, China Postdoctoral Science Foundation |
| المصدر: | BMC Cancer ; volume 24, issue 1 ; ISSN 1471-2407 |
| بيانات النشر: | Springer Science and Business Media LLC |
| سنة النشر: | 2024 |
| الوصف: | Background Neoadjuvant chemoradiotherapy (nCRT) and surgery have been recommended as the standard treatments for locally advanced esophageal squamous cell carcinoma (ESCC). In addition, nodal metastases decreased in frequency and changed in distribution after neoadjuvant therapy. This study aimed to examine the optimal strategy for lymph node dissection (LND) in patients with ESCC who underwent nCRT. Methods The hazard ratios (HRs) for overall survival (OS) and disease-free survival (DFS) were calculated using the Cox proportional hazard model. To determine the minimal number of LNDs (n-LNS) or least station of LNDs (e-LNS), the Chow test was used. Results In total, 333 patients were included. The estimated cut-off values for e-LNS and n-LNS were 9 and 15, respectively. A higher number of e-LNS was significantly associated with improved OS (HR: 0.90; 95% CI 0.84–0.97, P = 0.0075) and DFS (HR: 0.012; 95% CI: 0.84–0.98, P = 0.0074). The e-LNS was a significant prognostic factor in multivariate analyses. The local recurrence rate of 23.1% in high e-LNS is much lower than the results of low e-LNS (13.3%). Comparable morbidity was found in both the e-LNS and n-LND subgroups. Conclusion This cohort study revealed an association between the extent of LND and overall survival, suggesting the therapeutic value of extended lymphadenectomy during esophagectomy. Therefore, more lymph node stations being sampled leads to higher survival rates among patients who receive nCRT, and standard lymphadenectomy of at least 9 stations is strongly recommended. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1186/s12885-024-11886-7 |
| DOI: | 10.1186/s12885-024-11886-7.pdf |
| DOI: | 10.1186/s12885-024-11886-7/fulltext.html |
| الاتاحة: | http://dx.doi.org/10.1186/s12885-024-11886-7 https://link.springer.com/content/pdf/10.1186/s12885-024-11886-7.pdf https://link.springer.com/article/10.1186/s12885-024-11886-7/fulltext.html |
| Rights: | https://creativecommons.org/licenses/by/4.0 ; https://creativecommons.org/licenses/by/4.0 |
| رقم الانضمام: | edsbas.8B83E855 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1186/s12885-024-11886-7 |
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