Abstract
During the recent 10 years from 1965, we have seen 336 patients with primary carcinoma of the esophagus, of whom 207 (61.6%) were rescted. And 68 of these resecfed cases, were considered far advanced (Stage 4). This study was designed what would be favorable to manage the far advanced esophageal cancer patients such as these 68 palliatively resected patients and the remaining 129 unresectable patients. We obtained the following results,
1) For the unresectable cases, radiation therapy was the best methode.
2) For the patients having metastasis in the distant regional lymph nodes such as supraclaviculcr lymph node, even if the local lesion would be resectable, surgical resection was not recommended because of its poor prognosis.
3) For the patients having no distant lymph metastasis, even if the local invasion was thou. ght to be so advanced such as esophagopleural fistula, irradiation followed by surgical resection was encouraging.
