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논문 기본 정보

자료유형
학술저널
저자정보
Kim Ga Hee (Department of Gastroenterology Asan Medical Center University of Ulsan College of Medicine Seoul Ko) Na Hee Kyong (Department of Gastroenterology Asan Medical Center University of Ulsan College of Medicine Seoul Ko) Ahn Ji Yong (Department of Gastroenterology Asan Medical Center University of Ulsan College of Medicine Seoul Ko) Lee Jeong Hoon (Department of Gastroenterology Asan Medical Center University of Ulsan College of Medicine Seoul Ko) Jung Kee Wook (Department of Gastroenterology Asan Medical Center University of Ulsan College of Medicine Seoul Ko) Kim Do Hoon (Department of Gastroenterology Asan Medical Center University of Ulsan College of Medicine Seoul Ko) Kim Hyeong Ryul (Department of Thoracic and Cardiovascular Surgery Asan Medical Center University of Ulsan College o) Choi Kee Don (Department of Gastroenterology Asan Medical Center University of Ulsan College of Medicine Seoul Ko) Song Ho June (Department of Gastroenterology Asan Medical Center University of Ulsan College of Medicine Seoul Ko) Kim Yong-Hee (Department of Thoracic and Cardiovascular Surgery Asan Medical Center University of Ulsan College o) Lee Gin Hyug (Department of Gastroenterology Asan Medical Center University of Ulsan College of Medicine Seoul Ko) Jung Hwoon-Yong (Department of Gastroenterology Asan Medical Center University of Ulsan College of Medicine Seoul Ko) Park Seung-Il (Department of Thoracic and Cardiovascular Surgery Asan Medical Center University of Ulsan College o)
저널정보
거트앤리버 발행위원회 Gut and Liver Gut and Liver 제15권 제5호
발행연도
2021.9
수록면
705 - 712 (8page)
DOI
10.5009/gnl20254

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Background/Aims: Data regarding the prognosis of early esophageal cancer are lacking. This study investigated the long-term outcomes and factors affecting the survival of patients with mucosal esophageal squamous cell carcinoma (T1aESCC). Methods: We analyzed the clinical and tumor-specific parameters of 263 patients who received surgical resection (SR; n=63) or endoscopic resection (ER; n=200) for T1aESCC. Underlying comorbidities were scored using the Charlson comorbidity index (CCI). Overall survival (OS) was the primary outcome, and multivariate regression analysis was performed to predict factors for OS. Results: Of the study patients (age, 64.5±8.0 years), the CCI was 1.0±1.4 in the ER group and 0.6±0.9 in the SR group (p=0.107). The 5-year OS rate during follow-up (54.4±20.4 months) was 85.7% (ER group, 86.8%; SR group, 82.4%; p=0.631). The cumulative 5-year incidence of esophageal cancer recurrence was 10.5% in the ER group (vs 0% in the SR group). The overall mortality rate was 12.9% (ER group, 12.0%; SR group, 15.9%; p=0.399). The most common cause of mortality was second primary cancers in the ER group (75%) and organ dysfunction or postoperative complications in the SR group (70%). According to multivariate analysis, only CCI was significantly associated with OS (p<0.001). The 5-year OS rate in patients with a CCI >2 and in those with a CCI ≤2 was 60.2% and 88.2%, respectively (p<0.001). The treatment method (ER vs SR) was not a significant affecting factor (p=0.238). Conclusions: The long-term prognosis of patients with T1aESCC was significantly associated with underlying comorbidities.
#Esophagus #Squamous cell carcinoma #Endoscopic mucosal resection #Esophagectomy #Prognosis

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참고문헌 (33)

참고문헌 신청
Takubo K / 2007 / Early squamous cell carcinoma of the oesophagus : the Japanese viewpoint / Histopathology 51:733~742 google schola Kim DU / 2008 / Risk factors of lymph node metastasis in T1 esophageal squamous cell carcinoma / J Gastroenterol Hepatol 23:619~625 google schola Fujiyoshi T / 2017 / Comparative evaluation of new and conventional classifications of magnifying endoscopy with narrow band imaging for invasion depth of superficial esophageal squamous cell carcinoma / Dis Esophagus 30:1~8 google schola Kitagawa Y / 2019 / Esophageal cancer practice guidelines 2017 edited by the Japan esophageal society : part 2 / Esophagus 16:25~43 google schola Kitagawa Y / 2019 / Esophageal cancer practice guidelines 2017 edited by the Japan Esophageal Society : part 1 / Esophagus 16:1~24 google schola

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