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XXIV Congresso ACOI 2005 Montecatini Terme 25-28 Maggio 2005

Bruno L, Nesi G § , Boni D, Boddi V*, Carassale G, Qirici E, Taddei A, Giani I, Bechi P, Cortesini C. S.O.D. Patologia Chirurgica 1; * Dipartimento Sanità Pubblica; § Dipartimento Patologia Umana ed Oncologia. – A.O.U.C. - Firenze.

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XXIV Congresso ACOI 2005 Montecatini Terme 25-28 Maggio 2005

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  1. Bruno L, Nesi G§, Boni D, Boddi V*, Carassale G, Qirici E, Taddei A, Giani I, Bechi P, Cortesini C. S.O.D. Patologia Chirurgica 1; * Dipartimento Sanità Pubblica; § Dipartimento Patologia Umana ed Oncologia. – A.O.U.C. - Firenze Adenocarcinoma del cardias:caratteristiche clinico-patologiche e risultati della terapia chirurgica XXIV Congresso ACOI 2005 Montecatini Terme 25-28 Maggio 2005

  2. Incidenza in aumento relativo ed assoluto • Entità nosologica indipendente • Molteplici opzioni terapeutiche Introduzione

  3. 465/562 (82.7 %) pazienti resecati Casistica 1986 - 2001

  4. Adenocarcinoma cardias (sec. Siewert) Casistica 1986 - 2001

  5. Correlazioni clinico patologicheI

  6. Correlazioni clinico patologiche II

  7. 43.4(+0.2)% Sopravvivenza a 5 anni ( LC 95%: 38.7 – 48.0 ) Mediana:30.0 mesi 13.1 pz relapsed 68.7 pz in follow up M.O. 2.6%(12/465)

  8. CD CC CM Sede (sec. Kaplan – Meier) 48 23 20 Sopravvivenza % Mesi dall’intervento p < 0.001

  9. Analisi multivariata (sec. Cox)

  10. Comportamento biologico peculiare • Problematica chirurgia R0 • Approccio multidisciplinare Conclusioni

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