Abstract
The author reviews 1640 patients with oesophageal or post cricoid carcinoma occurring in and around Edinburgh from 1931 to 1964. Special reference is made to 144 patients treated since 1956 by megavoltage irradiation with a five year survival rate of 22 per cent. Perhaps equally important for the many aged patients but more difficult to quantitate, radical irradiation is no longer a severe trial for the patient so that in addition to permitting survival for 5 or more years in 20 per cent of those treated it provides useful palliation for most of the others. As compared with the current surgical methods megavoltage irradiation has some advantages resulting in the present trend towards irradiating more and operating on fewer patients with oesophageal and post cricoid carcinoma.
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