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Classification of adenocarcinoma of the oesophagogastric junction

Classification of adenocarcinoma of the oesophagogastric junction British Journal of Surgery 1998, 85, 1457–1459 Leading article Classification of adenocarcinoma of the oesophagogastric junction In the Western world there has been an alarming rise in the incidence and prevalence of adenocarcinoma at the oesophagogastric junction. However, much discrepancy exists in the current literature about the classification and optimal management of this tumour. While some consider and treat all tumours arising in the vicinity of the oesophagogastric junction as oesophageal cancer, others regard them as gastric cancer, or even as an entity separate from both oesophageal and gastric cancer. This confusion is due largely to the borderline location between the oesophagus and stomach, the ambiguous use of the term ‘cardia carcinoma’, and an inability of the current Union Internacional Contra la Cancrum system to classify and stage these lesions. Consequently, the data reported in the literature regarding epidemiology, diagnosis and management are not comparable; it is hardly surprising that the outcome and benefit of surgical resection for adenocarcinoma of the oesophagogastric junction are matters of some controversy . At a recent consensus conference of the International Gastric Cancer Associa- tion (IGCA) and the International Society for Diseases of the Esophagus (ISDE) all participating experts agreed that a clear http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png British Journal of Surgery Oxford University Press

Classification of adenocarcinoma of the oesophagogastric junction

Siewert, J R; Stein, H J
British Journal of Surgery , Volume 85 (11): 3 – Nov 1, 1998
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References (12)

Publisher
Oxford University Press
Copyright
© 1998 British Journal of Surgery Society Ltd
ISSN
0007-1323
eISSN
1365-2168
DOI
10.1046/j.1365-2168.1998.00940.x
Publisher site
See Article on Publisher Site

Abstract

British Journal of Surgery 1998, 85, 1457–1459 Leading article Classification of adenocarcinoma of the oesophagogastric junction In the Western world there has been an alarming rise in the incidence and prevalence of adenocarcinoma at the oesophagogastric junction. However, much discrepancy exists in the current literature about the classification and optimal management of this tumour. While some consider and treat all tumours arising in the vicinity of the oesophagogastric junction as oesophageal cancer, others regard them as gastric cancer, or even as an entity separate from both oesophageal and gastric cancer. This confusion is due largely to the borderline location between the oesophagus and stomach, the ambiguous use of the term ‘cardia carcinoma’, and an inability of the current Union Internacional Contra la Cancrum system to classify and stage these lesions. Consequently, the data reported in the literature regarding epidemiology, diagnosis and management are not comparable; it is hardly surprising that the outcome and benefit of surgical resection for adenocarcinoma of the oesophagogastric junction are matters of some controversy . At a recent consensus conference of the International Gastric Cancer Associa- tion (IGCA) and the International Society for Diseases of the Esophagus (ISDE) all participating experts agreed that a clear

Journal

British Journal of Surgery – Oxford University Press

Published: Nov 1, 1998

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