Clinical and Research Progress in the Resection of Gastro-Esophageal Cancer

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Clinical Research of Cancer".

Deadline for manuscript submissions: 15 May 2024 | Viewed by 1599

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Guest Editor
Section of Thoracic Surgery, Department of Surgery, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB R3T 2N2, Canada
Interests: inflammatory response to intra-operative ventilation and lung surgery; inflammatory response and risk of metastasis; inflammatory mechanisms of treatment-related lung injury; health-related quality of life in esophageal cancer
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Special Issue Information

Dear Colleagues,

We are delighted to announce a call for submissions to this Special Issue of Cancers, titled "Clinical and Research Progress in the Resection of Gastro-Esophageal cancer". Gastro-esophageal cancers are a source of substantial global morbidity and mortality. Traditionally, non-metastatic cancers are treated with surgical resection, with a possible combination of chemotherapy and radiation therapy. These can also be sources of significant treatment-related toxicities. The resection of gastro-esophageal cancer is associated with some of the highest incidences of morbidity and mortality. The progress related to improving outcomes for patients with gastro-esophageal cancers is dependent on improving the morbidity and mortality associated with resection and surgery.

We encourage the submission of both original research articles and reviews on all aspects of the advances in resection and multi-modal management of gastro-esophageal cancer. All submitted articles will undergo peer review.

Dr. Biniam Kidane
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Cancers is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2900 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Published Papers (2 papers)

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Research

16 pages, 2362 KiB  
Article
Early Gastric Cancers in Central Norway 2001 to 2016—A Population-Based Study
by Camilla J. Kvamme, Thomas L. Stillingen, Alina D. Sandø, Patricia Mjønes, Erling A. Bringeland and Reidar Fossmark
Cancers 2024, 16(6), 1222; https://doi.org/10.3390/cancers16061222 - 20 Mar 2024
Viewed by 573
Abstract
Early gastric cancers (EGCs) are confined to the gastric mucosa and submucosa irrespective of lymph node metastases and constitute only a minor proportion of gastric cancer in Western countries. We aimed to characterize EGCs and assess the survival of EGC in Central Norway [...] Read more.
Early gastric cancers (EGCs) are confined to the gastric mucosa and submucosa irrespective of lymph node metastases and constitute only a minor proportion of gastric cancer in Western countries. We aimed to characterize EGCs and assess the survival of EGC in Central Norway during 2001–2016. A retrospective population-based study on 1205 patients with gastric cancer was performed. At the time, surgical resection was the standard treatment, and 88 (7.3%) EGCs were identified. Histopathological specimens were re-examined, and the eCura score and survival were evaluated. The number of gastric cancers declined (p = 0.010), but the relative proportion of EGC was unchanged during the study period. EGCs were more often of the Lauren intestinal type (p < 0.001) compared with controls. A significant proportion (9.4%, n = 5) of the patients with a low-risk eCura had lymph node metastases, whereas further exclusion of tumors with histological ulceration or SM2 invasion identified an N0 cohort. The median survival for EGC patients was 117.1 months (95% CI 99.8–134.3) and the 5-year overall survival was 75%. Twelve deaths were cancer-related, either due to postoperative complications (5.7%, n = 5) or cancer recurrence (8%, n = 7). In conclusion, EGCs constituted a minor but constant proportion of gastric cancers. eCura alone was insufficient in predicting patients with pN0 disease. Full article
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14 pages, 272 KiB  
Article
Rural Women Have a Prolonged Recovery Process after Esophagectomy
by Julia Schroeder, Kiran Lagisetty, William Lynch, Jules Lin, Andrew C. Chang and Rishindra M. Reddy
Cancers 2024, 16(6), 1078; https://doi.org/10.3390/cancers16061078 - 7 Mar 2024
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Abstract
Background: Gender and geographic access to care play a large role in health disparities in esophageal cancer care. The aim of our study was to evaluate disparities in peri-operative outcomes for patients undergoing esophagectomy based on gender and geographic location. Methods: A retrospective [...] Read more.
Background: Gender and geographic access to care play a large role in health disparities in esophageal cancer care. The aim of our study was to evaluate disparities in peri-operative outcomes for patients undergoing esophagectomy based on gender and geographic location. Methods: A retrospective cohort of prospectively collected data from patients who underwent esophagectomy from 2003 to 2022 was identified and analyzed based on gender and county, which were aggregated into existing state-level “metropolitan” versus “rural” designations. The demographics, pre-operative treatment, surgical complications, post-operative outcomes, and length of stay (LOS) of each group were analyzed using chi-squared, paired t-tests and single-factor ANOVA. Results: Of the 1545 patients, men (83.6%) and women (16.4%) experienced similar rates of post-operative complications, but women experienced significantly longer hospital (p = 0.002) and ICU (p = 0.03) LOSs as compared with their male counterparts, with no differences in 30-day mortality. When separated by geographic criteria, rural women were further outliers, with significantly longer hospital LOSs (p < 0.001) and higher rates of ICU admission (p < 0.001). Conclusions: Rural female patients undergoing esophagectomy were more likely to have a longer inpatient recovery process compared with their female metropolitan or male counterparts, suggesting a need for more targeted interventions in this population. Full article
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