Esophageal Mucoepidermoid Carcinoma: A Review of 58 Cases

BackgroundEsophageal mucoepidermoid carcinoma (EMEC) is a rare disease. The biological behavior and treatment of this malignancy are not well established.MethodsData from 58 patients with EMEC who underwent esophagectomy were retrospectively analyzed and compared with 5028 patients with esophageal s...

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Main Authors: Xin Wang, Yu-ping Chen, Shao-bin Chen
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-04-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.836352/full
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author Xin Wang
Yu-ping Chen
Shao-bin Chen
author_facet Xin Wang
Yu-ping Chen
Shao-bin Chen
author_sort Xin Wang
collection DOAJ
description BackgroundEsophageal mucoepidermoid carcinoma (EMEC) is a rare disease. The biological behavior and treatment of this malignancy are not well established.MethodsData from 58 patients with EMEC who underwent esophagectomy were retrospectively analyzed and compared with 5028 patients with esophageal squamous cell carcinoma (ESCC). Kaplan–Meier and multivariate Cox regression analyses were conducted to investigate the association between clinicopathological factors and survival.ResultsThe study cohort included 36 males and 22 females with a median age of 59 years (range, 40-78 years). Of the 47 patients who underwent preoperative esophagoscopic biopsy, only 1 patient was diagnosed with EMEC. EMEC was more often found in female patients (39.7% versus 25.8%, P=0.036) and patients with EMEC had a significantly lower rate of lymph node metastasis (25.0% versus 49.4%, P<0.001) than patients with ESCC. After 1:1 propensity score matching, the 5-year overall survival rate of 55.2% for patients with EMEC was similar to that of 61.9% for patients with ESCC (P=0.399).ConclusionsEMEC is a rare disease that more often affects females and these patients has less lymph node metastasis than patients with ESCC. Preoperative esophagoscopic biopsy has difficulty obtaining an accurate pathological diagnosis for EMEC patients. The prognosis for EMEC is similar to that for ESCC.
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spelling doaj.art-cda1f8bd8c2e45ae971307435e886b322022-12-22T01:47:39ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-04-011210.3389/fonc.2022.836352836352Esophageal Mucoepidermoid Carcinoma: A Review of 58 CasesXin WangYu-ping ChenShao-bin ChenBackgroundEsophageal mucoepidermoid carcinoma (EMEC) is a rare disease. The biological behavior and treatment of this malignancy are not well established.MethodsData from 58 patients with EMEC who underwent esophagectomy were retrospectively analyzed and compared with 5028 patients with esophageal squamous cell carcinoma (ESCC). Kaplan–Meier and multivariate Cox regression analyses were conducted to investigate the association between clinicopathological factors and survival.ResultsThe study cohort included 36 males and 22 females with a median age of 59 years (range, 40-78 years). Of the 47 patients who underwent preoperative esophagoscopic biopsy, only 1 patient was diagnosed with EMEC. EMEC was more often found in female patients (39.7% versus 25.8%, P=0.036) and patients with EMEC had a significantly lower rate of lymph node metastasis (25.0% versus 49.4%, P<0.001) than patients with ESCC. After 1:1 propensity score matching, the 5-year overall survival rate of 55.2% for patients with EMEC was similar to that of 61.9% for patients with ESCC (P=0.399).ConclusionsEMEC is a rare disease that more often affects females and these patients has less lymph node metastasis than patients with ESCC. Preoperative esophagoscopic biopsy has difficulty obtaining an accurate pathological diagnosis for EMEC patients. The prognosis for EMEC is similar to that for ESCC.https://www.frontiersin.org/articles/10.3389/fonc.2022.836352/fullesophagusmucoepidermoid carcinomasurgerytreatmentprognosis
spellingShingle Xin Wang
Yu-ping Chen
Shao-bin Chen
Esophageal Mucoepidermoid Carcinoma: A Review of 58 Cases
Frontiers in Oncology
esophagus
mucoepidermoid carcinoma
surgery
treatment
prognosis
title Esophageal Mucoepidermoid Carcinoma: A Review of 58 Cases
title_full Esophageal Mucoepidermoid Carcinoma: A Review of 58 Cases
title_fullStr Esophageal Mucoepidermoid Carcinoma: A Review of 58 Cases
title_full_unstemmed Esophageal Mucoepidermoid Carcinoma: A Review of 58 Cases
title_short Esophageal Mucoepidermoid Carcinoma: A Review of 58 Cases
title_sort esophageal mucoepidermoid carcinoma a review of 58 cases
topic esophagus
mucoepidermoid carcinoma
surgery
treatment
prognosis
url https://www.frontiersin.org/articles/10.3389/fonc.2022.836352/full
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AT yupingchen esophagealmucoepidermoidcarcinomaareviewof58cases
AT shaobinchen esophagealmucoepidermoidcarcinomaareviewof58cases