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Original ArticleOpen Access
Esophageal Carcinoma in Southern Thailand
Puttawibul P 
,
Chanvitan A ,
Pompatanarak C ,
Sangthong B
,
Chanvitan A ,
Pompatanarak C ,
Sangthong B APINOP CHANVITAN, M.D.*,
BURAPAT SANGTHONG, M.D.*
Background : Southern Thailand is an area with a high frequency of esophageal car-
cinoma. This paper presents basic data regarding esophageal carcinoma patients from this
region.
Methods : Patients with histopathological confirmed esophageal carcinoma were retro-
spectively reviewed. The age, sex, location of tumor and resectability were studied.
Results : A total of 813 cases of esophageal carcinoma were reviewed, male: female ratio
was 3.54:1 (634:179). Average age in males was 64.62 years and 64.30 years in females. The
peak age-incidence was 51-70 years. Squamous cell carcinoma was most commonly found in the
mid thoracic portion of the esophagus with 369 cases ( 45.39% ), 70 cases (8.61
o/o)
were found in
the cervical portion of the esophagus. Adenocarcinoma cancer was found at the esophagogastric
junction in 47 cases (5. 78% ). Only 293 cases (36.04%) were operable. Respiratory tract involve-
ment was noted in 49 cases.
Conclusion : The most common type of esophageal cancer in Southern Thailand is
squamous cell carcinoma, as in other countries in Asia. The status of the patients, advanced age and
locally advanced tumor were major factors of our low operable rate.
Key word : Esophageal Carcinoma, Southern Thailand
BURAPAT SANGTHONG, M.D.*
Background : Southern Thailand is an area with a high frequency of esophageal car-
cinoma. This paper presents basic data regarding esophageal carcinoma patients from this
region.
Methods : Patients with histopathological confirmed esophageal carcinoma were retro-
spectively reviewed. The age, sex, location of tumor and resectability were studied.
Results : A total of 813 cases of esophageal carcinoma were reviewed, male: female ratio
was 3.54:1 (634:179). Average age in males was 64.62 years and 64.30 years in females. The
peak age-incidence was 51-70 years. Squamous cell carcinoma was most commonly found in the
mid thoracic portion of the esophagus with 369 cases ( 45.39% ), 70 cases (8.61
o/o)
were found in
the cervical portion of the esophagus. Adenocarcinoma cancer was found at the esophagogastric
junction in 47 cases (5. 78% ). Only 293 cases (36.04%) were operable. Respiratory tract involve-
ment was noted in 49 cases.
Conclusion : The most common type of esophageal cancer in Southern Thailand is
squamous cell carcinoma, as in other countries in Asia. The status of the patients, advanced age and
locally advanced tumor were major factors of our low operable rate.
Key word : Esophageal Carcinoma, Southern Thailand
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