Retrospective Review of Esophageal Cancer at MSKCC
Study Details
Study Description
Brief Summary
Residual tumor at the proximal or distal margin after esophagectomy is a known prognostic factor for poor survival outcomes in esophageal cancer participants; however, the significance of the circumferential resection margin (CRM) remains controversial. In this study, we sought to evaluate the prognostic significance of the CRM in participants with esophageal cancer undergoing resection.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Circumferential resection margin (CRM) Participants will have a diagnosis of esophageal carcinoma and residual tumor >1 mm from the CRM |
Procedure: Esophagectomy
Esophagectomy
|
Circumferential resection margin (CRM)-close Participants will have a diagnosis of esophageal carcinoma and residual tumor >0-1 mm from the CRM |
Procedure: Esophagectomy
Esophagectomy
|
Circumferential resection margin (CRM)+ Participants will have a diagnosis of esophageal carcinoma and residual tumor at the surgical CRM |
Procedure: Esophagectomy
Esophagectomy
|
Outcome Measures
Primary Outcome Measures
- Identify preoperative variables that may affect surgical outcomes and to determine the relation between patient's characteristics, neoadjuvant therapy and postoperative morbidity. [Up to 2 years]
Secondary Outcome Measures
- Compare different surgical techniques and their associated postoperative outcomes. [Up to 2 years]
- Evaluate the impact of the delay to surgery after neoadjuvant therapy. [Up to 2 years]
- Compare results between definitive chemoradiation therapy and three modality treatment [Up to 2 years]
- Assess the impact of adjuvant therapy in esophageal cancer [Up to 2 years]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Histologically confirmed esophageal adenocarcinoma (EAC) or esophageal squamous cell carcinoma (ESCC) undergoing esophagectomy
-
Pathologic staged T3 tumors (pT3)
Exclusion Criteria:
-
Pathologic staged T0-2 (pT0-2) or T4 tumors (pT4)
-
Patients with histologic types other than EAC or ESCC, dysplasia or carcinoma in situ without tumor invasion,
-
Patients undergoing salvage esophagectomy
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Evidence of distant metastatic disease
-
Patients with a positive proximal or distal margin
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Memorial Sloan Kettering Cancer Center (All Protocol Activities) | New York | New York | United States | 10065 |
Sponsors and Collaborators
- Memorial Sloan Kettering Cancer Center
Investigators
- Principal Investigator: Daniela Molena, MD, Memorial Sloan Kettering Cancer Center
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- 16-1631