EVALUATION OF THE EFFECTIVENESS OF RADIATION AND COMBINED TREATMENT OF PATIENTS WITH RECURRENCE OF ESOPHAGEAL CANCER IN THE CERVICAL LYMPH NODES

Abstract

The aim of the article is to present improvement of immediate and remote treatment outcomes of patients with metastases in cervical and supraclavicular lymph nodes after surgical treatment of esophageal cancer. Materials and methods. Metastases in cervical and supraclavicular lymph nodes after surgical treatment of esophageal cancer are found in 7-12% of cases. Following classical cervical lymph nodes tele-irradiation 25 patients underwent cervical lymph node dissection. Crile’s operation or radical neck dissection is the standard operation for removal of malignant cervical lymph nodes. Results. Special attention should be paid to the life expectancy of 25 patients who underwent the combined therapy for esophageal cancer recurrence in cervical lymph nodes: 10 people (40.0 ± 9.8%) have survived two-year limit and 5 patients (20.0 ± 8.6%) lived for three years. Conclusion. The presence of cervical lymph nodes metastases in patients with esophageal cancer is not always the sign of a patient’s hopeless condition. Early detection of recurrent tumors and their combined treatment allow to achieve a significant improvement of long-term results.