Adenocarcinoma of gastric cardia in the elderly: Surgical problems and prognostic factors

Figure 1 Subdivision of the 81 patients with adenocarcinoma of the EGJ, according to Siewert’ Classification. Group A: ≥70 years old; group B: ≤60 years old. Type I A vs Type I B P>0.05; Type II A vs Type II B P>0.05; Type III A vs Type III B P>0.05.

Figure 2 The 5-year survival rates of 113 patients with adenocarcinoma of the EGJ. The younger patients showed a better survival rate than the elderly (P = 0.1544). Group A: ≥70 years old; group B: ≤60 years old. Kaplan-Meier and log-rank test.

Figure 3 Survival curves according to Siewert’s classification in the elderly (A) and in the younger group (B). In both groups the worst survival rate regarding type I. Group A: ≥70 years old; group B: ≤60 years old. Kaplan-Meier and log-rank test.

Figure 4 Survival curves according to Siewert’s classification for type I (A), type II (B) and type III (C), respectively. There is a difference in survival rate only for types I and II between groups A and B, but not of much significance. Group A: ≥70 years old; group B: ≤60 years old. Kaplan-Meier and log-rank test.

Figure 5 Overall 5-year survival rates of 81 patients with resected adenocarcinoma of the EGJ regarding type of resection (R0 vs R1-2) (A) and pN category (B). Elderly patients showed a lower 5-year survival rate than that of younger patients, both for pN0 category and curative resection (R0). Group A: ≥70 years old; group B: ≤60 years old. Kaplan-Meier and log-rank test.

Figure 6 Survival rates of elderly and younger patients regarding the extent of esophagogastric resection for type II tumor: total gastrectomy with distal esophagectomy (TG+DE) vs total gastrectomy with total esophagectomy (TG+TE) (P = 0. 4697). Both in the elderly and younger patients with type II tumor, total esophagectomy did not improve survival rates significantly. Group A: ≥70 years old; group B: ≤60 years old. Kaplan-Meier and log-rank test.