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Celiac Lymph Nodes and Esophageal Cancer

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Difficult Decisions in Thoracic Surgery

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Abstract

Celiac lymph nodes are considered a distant metastatic site (M1) in esophageal cancer. The M1a subclassification is recommended for distal thoracic esophageal cancer metastatic to celiac lymph nodes. This suggests that although these cancers are beyond cure, they are different from esophageal cancers with other sites of distant metastases (M1b). Of 46 disease sites for which the American Joint Committee on Cancer (AJCC) has staging recommendations, only 7 (15%) require subdivision of M1: 2 with 3 subclassifications (M1a, M1b and M1c) — cutaneous melanoma and prostate; and 5 with 2 subclassifications (M1a and M1b) — bone, retinoblastoma, testis, gestational trophoblastic tumor, and esophagus. Only prostate, testis, and esophagus designate nonregional nodes as M1a.

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Author information

Authors and Affiliations

  1. Section of General Thoracic Surgery, Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, OH, USA

    Thomas W. Rice MD

  2. Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA

    Daniel J. Boffa MD

Authors
  1. Thomas W. Rice MD
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  2. Daniel J. Boffa MD
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Editor information

Editors and Affiliations

  1. Department of Surgery, The University of Chicago, Chicago, IL, USA

    Mark K. Ferguson MD (Professor and Head) (Professor and Head)

  2. Thoracic Surgery Service, The University of Chicago Hospitals, Chicago, IL, USA

    Mark K. Ferguson MD (Professor and Head) (Professor and Head)

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© 2007 Springer-Verlag London Limited

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Rice, T.W., Boffa, D.J. (2007). Celiac Lymph Nodes and Esophageal Cancer. In: Ferguson, M.K. (eds) Difficult Decisions in Thoracic Surgery. Springer, London. https://doi.org/10.1007/978-1-84628-474-8_33

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  • DOI: https://doi.org/10.1007/978-1-84628-474-8_33

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84628-384-0

  • Online ISBN: 978-1-84628-474-8

  • eBook Packages: MedicineMedicine (R0)

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