Posttreatment Recurrence and Death Patterns in Patients with Advanced Esophageal Cancer

Abstract

Objective. To investigate into the clinical factors associated with posttreatment recurrence and death patterns in patients with advanced esophageal cancer. Methods. Clinical information of patients with recurrence/metastasis and death after radical resection of esophageal cancer at our hospital between January 1, 2005, and December 31, 2015, were retrospectively collected and followed up. Postoperative recurrence-free survival time, postrelapse survival time, and overall survival time were compared among the metabolic-associated, organ failure-associated, and anastomotic recurrence-associated mortality groups. Results. Five hundred and ninety-five qualified patients were retrieved, including 456 males and 139 females, with an average age of$58\pm 7.56$years. There were 57 cases of TNM-1 stage, 131 cases of TNM-2 stage, 365 cases of TNM-3 stage, and 42 cases of TNM-4 stage. There were 547 cases of squamous cell cancer and 48 cases of nonsquamous cell cancer. There were significant differences in age ($p<0.01$), tumor location ($p<0.01$), and lymph node metastasis ($p=0.04$), recurrence type ($p<0.01$) by one-way ANOVA, and recurrence-free survival ($p=0.02$) and postrecurrence survival ($p<0.01$) by Kaplan-Meier survival curve analysis among the three main death causes. Conclusions. Age, tumor location, and lymph node metastasis were significantly different among metabolic-associated, organ failure-associated, and anastomotic recurrence-associated mortality of recurrent EC patients.