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Patterns of Presentation of Carcinoma of the Esophagus and Cardia in Patients Less Than 50 Years Old

  • Mark K. Ferguson
  • Mario Albertucci
  • Rudy P. Lackner
  • Philip C. Hoffman
  • Harvey M. Golomb
Conference paper

Abstract

Squamous cell carcinomas of the esophagus in the Western hemisphere are epidemiologically related to tobacco use and alcohol consumption. In the past 10 years, there has been a striking increase in the incidence of adenocarcinomas of the distal esophagus and cardia, many of which do not arise from Barrett’s mucosa. Coincident with this rise in the incidence of adenocarcinomas has been an apparent shift to involvement in younger patients, most of whom do not share the risk factors associated with squamous cell cancers. We reviewed our recent experience with carcinoma of the esophagus and cardia to address several questions. Is the prevalence of cancer among young people increasing? Do young people develop a different type of cancer than that seen in older individuals, and, if so, do their prognoses differ? Can risk factors be identified that facilitate earlier diagnosis in young people?

Keywords

Alcohol Consumption Distal Esophagus Reflux Symptom Squamous Cell Cancer Gastric Cardia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Tokyo 1993

Authors and Affiliations

  • Mark K. Ferguson
    • 1
  • Mario Albertucci
    • 1
  • Rudy P. Lackner
    • 1
  • Philip C. Hoffman
    • 2
  • Harvey M. Golomb
    • 2
  1. 1.Section of Thoracic Surgery, Department of SurgeryThe University of ChicagoChicagoUSA
  2. 2.Section of Hematology/Oncology, Department of MedicineThe University of ChicagoChicagoUSA

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