Table 37 Malignant esophageal disease (clinical characteristics)
Operation (+) | EMR or ESD | Operation (−) | Total | ||||
---|---|---|---|---|---|---|---|
Cases | Hospital mortality | ||||||
~30 days | 31–90 days | Total (including after 91 days mortality) | |||||
1. Esophageal cancer | 6247 | 47 (0.8) | 46 (0.7) | 128 (2.0) | 1851 | 2492 | 10,584 |
Location | |||||||
(1) Cervical esophagus | 258 | 0 | 1 (0.4) | 3 (1.2) | 76 | 178 | 512 |
(2) Thoracic esophagus | 5041 | 45 (0.9) | 39 (0.8) | 112 (2.2) | 1501 | 2133 | 8675 |
(3) Abdominal esophagus | 644 | 2 (0.3) | 3 (0.5) | 7 (1.1) | 100 | 117 | 861 |
(4) Multiple cancers | 301 | 0 | 3 (1.0) | 6 (2.0) | 174 | 61 | 536 |
(5) Others/not described | 3 | 0 | 0 | 0 | 0 | 3 | 0 |
Tumor depth | |||||||
(A) Superficial cancer (T1) | 1892 | 9 (0.5) | 9 (0.5) | 22 (1.2) | 1848 | 210 | 3950 |
Mucosal cancer (T1a) | 415 | 0 | 2 (0.5) | 2 (0.5) | 1514 | 49 | 1978 |
(B) Advanced cancer (T2–T4) | 4344 | 37 (0.9) | 37 (0.9) | 105 (2.4) | 2 | 2282 | 6628 |
(C) Not specified | 11 | 1 (9.1) | 0 | 1 (9.1) | 1 | 0 | 12 |
2. Multiple primary cancers | 1050 | 7 (0.7) | 7 (0.7) | 21 (2.0) | 520 | 338 | 1908 |
1) Synchronous | 587 | 4 (0.7) | 2 (0.3) | 10 (1.7) | 210 | 185 | 982 |
(1) Head and neck | 184 | 0 | 0 | 1 (0.5) | 84 | 59 | 327 |
(2) Stomach | 226 | 2 (0.9) | 0 | 4 (1.8) | 72 | 65 | 363 |
(3) Others | 144 | 1 (0.7) | 2 (1.4) | 4 (2.8) | 41 | 42 | 227 |
(4) Triple cancers | 33 | 1 (3.0) | 0 | 1 (3.0) | 13 | 19 | 65 |
(5) Unknown | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
2) Metachronous | 463 | 3 (0.6) | 5 (1.1) | 11 (2.4) | 310 | 153 | 926 |
(1) Head and neck | 102 | 0 | 1 (1.0) | 2 (2.0) | 107 | 38 | 247 |
(2) Stomach | 114 | 2 (1.8) | 1 (0.9) | 3 (2.6) | 75 | 36 | 225 |
(3) Others | 221 | 1 (0.5) | 2 (0.9) | 5 (2.3) | 86 | 60 | 367 |
(4) Triple cancers | 26 | 0 | 1 (3.8) | 1 (3.8) | 42 | 19 | 87 |
(5) Unknown | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Unknown | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Values in parenthesis represent mortality %
EMR endoscopic mucosal resection (including endoscopic submucosal dissection)