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This paper delineates which lymph nodes should be dissected due to the high frequency of metastasis associated with different types of primarily lesions of the thoracic esophagus. In cancer involving the upper third of the esophagus (Iu), lymph flow was found to be primary from the superior mediastinal area to the cervical area; in that involving the middle third (Im), it was broadly distributed from the superior, middle, and inferior mediastinal region to the cervical and abdominal regions; and in that involving the lower third (Ei), it tended to extend from the inferior mediastinal region to the abdominal region, with single primary metastatic nodes also being noted in this area. The significance of the "top" nodes, namely, the nodes located along the right recurrent laryngeal nerve in the upper portion of the thorax, was also investigated, and it was confirmed that the prognosis for patients with metastases to both the top nodes and other nodes was unfavorable. An immunohistochemical study on mediastinal lymph flow using the anti-Su-Ps antibody demonstrated interactions between top nodes and cervical and/or thoracic nodes.
T Nishihira, and
J Sayama, and
H Ueda, and
K Sugawara, and
R Takano, and
J Sagawa, and
M Katayama, and
R Shineha, and
K Hirayama, and
S Mori
August 1990,
The Journal of thoracic and cardiovascular surgery,
T Nishihira, and
J Sayama, and
H Ueda, and
K Sugawara, and
R Takano, and
J Sagawa, and
M Katayama, and
R Shineha, and
K Hirayama, and
S Mori
April 2003,
Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia,
T Nishihira, and
J Sayama, and
H Ueda, and
K Sugawara, and
R Takano, and
J Sagawa, and
M Katayama, and
R Shineha, and
K Hirayama, and
S Mori
June 2014,
Annals of surgery,
T Nishihira, and
J Sayama, and
H Ueda, and
K Sugawara, and
R Takano, and
J Sagawa, and
M Katayama, and
R Shineha, and
K Hirayama, and
S Mori
October 2023,
World journal of gastrointestinal surgery,
T Nishihira, and
J Sayama, and
H Ueda, and
K Sugawara, and
R Takano, and
J Sagawa, and
M Katayama, and
R Shineha, and
K Hirayama, and
S Mori
September 1966,
Kyobu geka. The Japanese journal of thoracic surgery,
T Nishihira, and
J Sayama, and
H Ueda, and
K Sugawara, and
R Takano, and
J Sagawa, and
M Katayama, and
R Shineha, and
K Hirayama, and
S Mori
September 2017,
Zhonghua wai ke za zhi [Chinese journal of surgery],
T Nishihira, and
J Sayama, and
H Ueda, and
K Sugawara, and
R Takano, and
J Sagawa, and
M Katayama, and
R Shineha, and
K Hirayama, and
S Mori
December 2000,
Journal of clinical gastroenterology,
T Nishihira, and
J Sayama, and
H Ueda, and
K Sugawara, and
R Takano, and
J Sagawa, and
M Katayama, and
R Shineha, and
K Hirayama, and
S Mori
November 2004,
The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai zasshi,
T Nishihira, and
J Sayama, and
H Ueda, and
K Sugawara, and
R Takano, and
J Sagawa, and
M Katayama, and
R Shineha, and
K Hirayama, and
S Mori
October 2015,
Histology and histopathology,
T Nishihira, and
J Sayama, and
H Ueda, and
K Sugawara, and
R Takano, and
J Sagawa, and
M Katayama, and
R Shineha, and
K Hirayama, and
S Mori
November 2011,
Annals of surgery,
