A UNITED CLASSIFICATION IN CARCINOMA OF THE ESOPHAGUS AND THE CARDIA BASED ON THE LYMPH METASTASIS.

The problem of the surgical treatment of cancer of the esophagus-gastric transition is up to date until today and has caused disagreements between the surgeons. This is one of the most aggressive visceral tumors. Metastasis is very specific due to the specificity of lymph edema. We operated 213 patients for four years period, 162 of them male and 51 - female. Cancer cardia and lower third of the esophagus are seen in 163 of them. All carcinomas of the gastroesophageal transition are diagnosed as adenocarcinomas, which means there is an increase of this localization of the tumor. This distribution of cardiac carcinoma Sieber is almost equal in our series of patients. We operated 137 patients for three years period. Sieber 1 - 47 patients, Sieber 2 - 37 patients, Sieber 3 - 53 patients. The persentage raio is as follows: Sieber 1 - 34%, Sieber 2 - 27%, Sieber 3-39%.