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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1982-12-16
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pubmed:abstractText |
Thirty-four patients with epidermoid carcinoma of the esophagus received a triple-drug regimen preoperatively consisting of cisplatin, vindesine, and bleomycin. Partial response to chemotherapy (greater than 50% reduction in measurable tumor size with concomitant improvement in swallowing function) was noted in 65% of the patients. Of the 34 patients, 28 (82%) had resectable disease. A one-stage high esophagogastrectomy utilizing the end-to-end anastomosis stapling device was performed on all 28 patients. Operation was followed by external radiation therapy to the esophageal bed, to a tumor dose of 5,500 rads delivered in 5 weeks. The postoperative median follow-up is now 14 months (range, 7 to 36 months). Thirteen patients are alive and well, and 10 patients have relapsed, 4 of whom are still alive with disease. Two patients died of postoperative complications, and 1 death was drug related. On the other hand, 5 of the 6 patients with unresected tumors died within 5 months. While the preliminary results are encouraging, longer follow-up will be required to determine whether the response rate to chemotherapy will result in a longer disease-free interval and longer survival.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Antineoplastic Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Bleomycin,
http://linkedlifedata.com/resource/pubmed/chemical/Cisplatin,
http://linkedlifedata.com/resource/pubmed/chemical/Vinblastine,
http://linkedlifedata.com/resource/pubmed/chemical/Vindesine
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pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0003-4975
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
34
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
521-8
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:6182844-Adult,
pubmed-meshheading:6182844-Aged,
pubmed-meshheading:6182844-Antineoplastic Agents,
pubmed-meshheading:6182844-Bleomycin,
pubmed-meshheading:6182844-Carcinoma, Squamous Cell,
pubmed-meshheading:6182844-Cisplatin,
pubmed-meshheading:6182844-Drug Therapy, Combination,
pubmed-meshheading:6182844-Esophageal Neoplasms,
pubmed-meshheading:6182844-Esophagus,
pubmed-meshheading:6182844-Female,
pubmed-meshheading:6182844-Gastrectomy,
pubmed-meshheading:6182844-Humans,
pubmed-meshheading:6182844-Male,
pubmed-meshheading:6182844-Middle Aged,
pubmed-meshheading:6182844-Neoplasm Metastasis,
pubmed-meshheading:6182844-Prognosis,
pubmed-meshheading:6182844-Vinblastine,
pubmed-meshheading:6182844-Vindesine
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pubmed:year |
1982
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pubmed:articleTitle |
Treatment of esophageal carcinoma combined preoperative chemotherapy.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.
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