Related factors of right recurrent nerve nodal involvement in esophageal cancer.
- Author:
Hong-guang ZHAO
1
;
Yan-jun HU
;
Wei-min MAO
;
Xin-ming ZHOU
;
Qi-xun CHEN
;
You-hua JIANG
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Esophageal Neoplasms; pathology; surgery; Esophagectomy; Female; Humans; Logistic Models; Lymph Node Excision; Lymph Nodes; pathology; surgery; Lymphatic Metastasis; Male; Middle Aged; Recurrent Laryngeal Nerve; pathology; Retrospective Studies; Risk Factors
- From: Chinese Journal of Oncology 2010;32(5):387-390
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo study the related factors of right recurrent nerve nodal involvement in esophageal cancer.
METHODS280 patients with thoracic esophageal cancer received esophagectomy and right recurrent nerve node dissection. The clinicopathological data were analyzed retrospectively. Univariate data were analyzed by chi-square test, and multivariate data were analyzed by logistic regression.
RESULTSThe right recurrent nerve nodal metastasis was found in 76 cases (27.1%, 76/280). In the 979 excised right recurrent nerve nodes, metastases were found in 118 nodes (12.1%). The tumor staging, the total number of involved lymph nodes, vascular invasion, the number of lymph node metastases in the thorax, the number of lymph node metastasis in the abdomen, subcarinal node metastasis, and peri-esophageal lymph node metastasis were independent risk factors of right recurrent nerve node metastasis in esophageal carcinoma.
CONCLUSIONRight recurrent nerve lymph nodes should be dissected in those patients with high risk factors of lymph node metastasis in thoracic esophageal carcinoma.