D. Elias et al., ESOPHAGECTOMY FOR INTRATHORACIC SQUAMOUS CELLS CARCINOMA DISCOVERED AT CHECK-UP OF AN HEAD AND NECK-CARCINOMA, Annales de chirurgie, 52(1), 1998, pp. 36-40
The treatement of synchronous esophageal and head and neck carcinomas
is difficult. Material and Method: Retrospective study of 33 patients
treated with esophagectomy for an intrathoracic squamous cells carcino
ma discovered during pan-endoscopy for a synchronous head and neck can
cer. Results: In 7 cases (21%) it was advanced (pT3-3) esophageal canc
ers. The hospital mortality was 9%. Five year survival was 18% without
stabilization of the survival curve, 60% of patients died of recurren
ce of tumor. Conclusion. Esophagectomy is suitable for usT1-2 turners
if surgery is also indicated for the head and neck tumor. Radiochemoth
erapy is indicated for advanced usT3-4 esophageal tumors or when the t
reatment of the head and neck tumor is not surgery.