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Committee for Registration of Esophageal Carcinoma has analyzed survival in 3,211 patients who underwent surgical staging and resection. The stages as assigned provide an accurate differentiation among the five staging classifications and illustrate the prognostic value of pathologic staging ( Fig. 19-8 ).1 ' EARLY DIAGNOSIS OF ESOPHAGEAL CARCINOMA

In geographic regions with a high incidence of esophageal tumors, particularly northern China, portions of Iran, South Africa, and Japan, early diagnosis of these tumors has been a subject of intense interest during the last 20 years. One of the primary causes for the overall poor prognosis in esophageal cancer is the fact that most

Figure 19-8 Actuarial survival by stage for cancer of the esophagus. (From Japanese Committee for Registration of Esophageal Carcinoma: A proposal for a new TNM classification of esophageal carcinoma. Jpn. J. Clin. Oncol., 14:625, 1985.)

Figure 19-8 Actuarial survival by stage for cancer of the esophagus. (From Japanese Committee for Registration of Esophageal Carcinoma: A proposal for a new TNM classification of esophageal carcinoma. Jpn. J. Clin. Oncol., 14:625, 1985.)

Figure 19-9 A through C, Incisions for resecting carcinomas of the esophagus or cardia.

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Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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