Esophageal Cancer in Pathum Thani Hospital - มะเร็งหลอดอาหารในโรงพยาบาลปทุมธานี

Abstract

           This retrospective descriptive study reported 60 patients who had esophageal carcinoma treated at Pathum Thani hospital from October 2002 to September 2007. Fifty patients were male and 10 were female (male to female ratio, 5 : 1). The average age was 67.3 years (range, 38-87 years). Clinical presentations included dysphagia (70%), substernal distress (13.4%), odynophagia (8.3%), and pain in pharynx (8.3%). The location of the tumors was in the middle third in 66.6 percent of the patients, upper third in 16.7 percent and lower third in 16.7 percent. The cell types were squamous cell carcinoma in 96.7 percent and adenocarcinoma in 3.3 percent. The patients were in stage IV (66.7%) and stage III (33.3%). Blunt transhiatal esophagectomy with gastric pull-up by substernal route was performed in 12 patients. One-year survival rate was 83.3 percent (10/12 patients). Postoperative mortality rate was 16.7 percent (2/12 patients).

Key words: esophageal cancer, squamous cell carcinoma