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Pattern of lymph node spread
En bloc resection
85
Leers et al. J Thor & Cardio 2009; 138: 594
TheRoyalMarsden
Operation Selection
Surgical Approach
Margins
Lymphadenectomy
TheRoyalMarsden
Operation Selection
Surgical Approach
Margins
Lymphadenectomy
Pattern of Recurrence of Type I & II Junctional
Cancer
Wayman et al. Br J Cancer 2002, 86: 1223
TheRoyalMarsden
Lymph Node Spread from Type II
Right Cardiac
38.2%
Lesser Curve
35.1%
Left Cardiac
23.1%
Left Gastric Artery
20.9%
5 year Survival
N0 76.6%
N1 62.3%
N2 22.4%
Yamashita et al, 2011, Ann Surg 254: 274-80