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https://hdl.handle.net/2440/51211
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Type: | Journal article |
Title: | The role of lymphadenectomy in esophageal cancer |
Author: | Jamieson, G. Lamb, P. Thompson, S. |
Citation: | Annals of Surgery, 2009; 250(2):206-209 |
Publisher: | Lippincott Williams & Wilkins |
Issue Date: | 2009 |
ISSN: | 0003-4932 1528-1140 |
Statement of Responsibility: | Glyn G. Jamieson, Peter J. Lamb, and Sarah K. Thompson |
Abstract: | <h4>Objective</h4>To address the role of lymphadenectomy in the treatment of esophageal cancer.<h4>Background</h4>The role of lymphadenectomy in esophageal cancer surgery is controversial, and there is a lack of uniformity as to what the term means.<h4>Methods</h4>The published data was reviewed to evaluate the evidence base for, and the terminology associated with, lymphadenectomy for esophageal cancer.<h4>Results</h4>Recommendations are given for a standardization of terminology for radical and nonradical lymphadenectomy procedures. Although there is no doubt that the presence of lymph node metastases worsens prognosis for a patient, there is a lack of high-level evidence to support lymphadenectomy. Logically, the best procedure, from a staging and perhaps theoretical oncologic point of view, is a 3-field lymphadenectomy but it is not clear which patients, if any, are most likely to benefit.<h4>Conclusions</h4>Well-designed randomized controlled trials are required to test, in a scientific manner, which of these procedures we should be offering our patients. |
Keywords: | Humans Esophageal Neoplasms Lymph Node Excision Patient Selection Terminology as Topic |
Description: | © 2009 Lippincott Williams & Wilkins |
DOI: | 10.1097/SLA.0b013e3181b16cd1 |
Published version: | http://dx.doi.org/10.1097/sla.0b013e3181b16cd1 |
Appears in Collections: | Aurora harvest Surgery publications |
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