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The Annals of Thoracic Surgery, Vol 49, 284-286, Copyright © 1990 by The Society of Thoracic Surgeons
M Mori, S Ohno, S Tsutsui, H Matsuura, H Kuwano and K Sugimachi
The clinicopathological features of esophageal carcinoma were examined from
the viewpoint of age differences in a study of 364 consecutively treated
patients. The three groups studied were: group I, aged less than 49 years;
group II, aged between 50 and 69 years; and group III, aged more than 70
years. There were no significant differences among the three groups with
regard to sex ratio, site and length of the lesion, gross types,
histological grade, depth of tumor invasion, vessel permeation, lymph node
metastasis, TNM classification, incidence of incomplete resection, or crude
actuarial 5-year survival curves. The malignant potentiality of the
esophageal carcinoma in young patients did not differ from that in older
patients in terms of deoxyribonucleic acid distribution pattern. The only
difference clearly evident between young and older patients was the number
of hospital deaths due to complications: That of the young patients was
significantly lower than that of the older patients (p less than 0.05).
Esophageal carcinoma in persons aged less than 50 years appeared to behave
biologically like the same neoplasm in older people, whereas gastric and
colorectal carcinomas behave differently in various age groups.
ARTICLES
Esophageal carcinoma in young patients
Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
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