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Surgical outcomes of pulmonary metastases from esophageal carcinoma diagnosed by both pathological and clinical criteria.
[esophageal carcinoma]
This
investigation
was
performed
to
examine
the
surgical
outcomes
of
pulmonary
metastases
from
esophageal
carcinoma
(
EC
)
diagnosed
by
both
pathological
and
clinical
criteria
.
Based
on
the
pathological
criteria
,
we
identified
22
patients
who
had
undergone
pulmonary
metastasectomy
for
EC
between
1997
and
2011
.
Thehistological
type
of
EC
was
squamous
cell
carcinoma
(
SCC
)
in
all
patients
.
After
specific
clinical
criteria
were
applied
,
seven
patients
suspected
of
having
primary
lung
SCC
were
excluded
.
The
surgical
outcomes
of
the
remaining
15
patients
were
reviewed
.
The
overall
survival
(
OS
)
was
calculated
as
the
period
from
pulmonary
resection
until
death
or
the
date
of
the
last
follow-up
.
The
1
-
,
3
-
and
4
-
year
OS
rates
of
the
15
patients
were
93
,
44
and
0
Â
%
respectively
,
with
a
median
OS
of
32
Â
months
.
A
larger
diameter
of
the
pulmonary
metastasis
was
marginally
associated
with
a
poorer
OS
(
p
Â
=
Â
0
.
087
)
;
however
,
none
of
the
parameters
were
significant
prognostic
factors
.
The
median
OS
of
patients
who
underwent
surgical
resection
for
pulmonary
metastases
from
EC
was
comparable
to
that
in
previous
reports
,
even
after
excluding
patients
clinically
suspected
of
having
a
second
primary
lung
SCC
.
The
poor
long
-term
survival
might
indicate
that
our
clinical
criteria
are
helpful
in
selecting
true
metastatic
patients
,
considering
the
aggressive
clinical
course
of
metastatic
EC
.
Diseases
Validation
Diseases presenting
"squamous cell carcinoma"
symptom
carcinoma of the gallbladder
child syndrome
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
junctional epidermolysis bullosa
kallmann syndrome
kindler syndrome
liposarcoma
monosomy 21
oculocutaneous albinism
oral submucous fibrosis
papillon-lefèvre syndrome
This symptom has already been validated