Klin Onkol 1998; 11(5): 158-160.
Summary: The authors report their experience with surgical therapy of cardia carcinoma patients in a 10 years period. They point out the specificity of carcinoma in this localisation and they focus above all on those patients where the cardia carcinoma was outgrowing significantly on the oesophagus. They evalute the effect of treatment which was different according to the chosen type of operation. While there is no patient suviving 5 years in the first group of patients with partial oesophagus resection and anastomosis in the thorax and there is a high percentage 40% of local reccurence in this group too, in the second group with subtotal oesophagus extirpation and anastomosis on the neck oesophagus the local recurrence has been observed in only 10,5% of patients. Two are surviving 5 years after the operation without a sign of continuing process and others are followed up. The authors defend the radicalism of extended resections and according to first results they demonstrate aprdon-ged survival period and relative comfort in the rest of patient's life.
