Because of extremely high morbidity and mortality, esophageal carcinoma has usually been reported as having a poor prognosis. In the majority of cases the etiologic factors remained unknown, but some risk factors have suggested, including smoking, alcohol drink, undernutrition, lye stricture, poor teeth hygiene and short esophageal state etc. Treatment with radical operation, radiotherapy, and anticancer drugs have been tried without satisfactory results yet.
In this observation the anther clinically assessed the 57 patients of esophageal cancer, including ageand sex distribution, symptoms, duration of illness and risk factors, location of cancer, histological type and surgical type and surgical treatment.
The following results were obtained:
1. Among the 57 patients, male was 52 and female 5, ratid being 10.4: 1. The most patients were in sixth decade, mean age being 57.6.
2. The duration of illness was 4 to 6 months in most cases, with presenting symptoms of dysphagia (78.9 %), epigastric pain (49%), weight loss (50.9%), and substernal pain (49%).
3. The esophageal cancer was more common in persons with blood type A (47. 3%). Ther was strong correlation between use of alcohol (1.4 times more common than non-drinker) and cigarettes (2 to e times higer than non-smoker) and esophageal cancer.
4. Approximately 56% esophageal cancer were in the lower tried, 32% in the middle, and 97, in the upper third of the esophagus. Squamous cell carcinoma was observed in 48.7%, adenocarcinoma in 5.4%.
5. Out of 57 cases observed 18´ cases (31.6%) were underwent surgical intervention, which included 8 cases (14%) of radical operation.
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