Esophageal Quality Outcomes

Roswell Park Cancer Institute provides comprehensive, individualized gastro-intestinal cancer care for about 700 inpatient admissions and over 15,000 outpatient visits annually, including an influx of almost 1,000 new patients. There are about 18,000 cases of colon, rectum, esophagus, stomach, liver, and pancreatic cancer diagnosed annually in New York State, with about 1,700 cases from the Western New York Region according to the New York State Tumor Registry. There are about 635 cases of esophagus cancer diagnosed annually in New York State, with about 110 cases from the Western New York Region according to the New York State Tumor Registry.

Our multi-disciplinary team includes an elite group of surgeons, medical oncologists, radiation oncologists, diagnostic radiologists, pathologists, physician assistants, and nurse practitioners. Roswell Park has 20 clinical research studies that are aggressively seeking answers to the most challenging new questions in the area of Gastrointestinal cancers each year.

Age at Diagnosis

Esophageal cancer is generally more common in men than in women, with a male-to-female ratio of 7:1. Esophageal cancer occurs most commonly during the sixth and seventh decades of life. Luckily, occurrence under age 50 is quite uncommon. As the graph demonstrates, Roswell Park data is comparable to the National Data.

Stage at Diagnosis

The stage of cancer is a reflection of the size of the cancer, the presence or absence of spread of the cancer to lymph nodes, or the presence or absence of spread of the cancer to other organs in the body. Knowing the stage helps doctors identify the best treatment options.

This graph demonstrates that Roswell Park Cancer Institute, compared to National Data, is comparable or treats a slightly higher percentage of patients with this diagnosis. Roswell Park maintains a well developed program and aggressive approach to treatment and surveillance for the pre-malignant condition of Barrett’s Esophagus with high grade dysplasia / carcinoma in-situ (Stage 0). The higher percentage of Stage 4 patients reflects the fact that Roswell Park is a resource for individuals in the region with more advanced cancer who specifically choose to come to the Roswell for their care.

Type of Surgery

Surgery for cancer of the esophagus (Esophageal resection or esophagectomy) remains the treatment of choice for a curative outcome. It is performed in patients who after thorough evaluation are considered appropriate candidates for surgery. Local excision by endoscopic mucosal resection or photodynamic therapy is usually performed for pre-malignant condition of Barrett’s Esophagus with high grade dysplasia / carcinoma in-situ (Stage 0), or early stage localized disease.  In advanced stages, palliative therapy can be done by endoscopic means (i.e., photodynamic therapy, laser ablation or stenting).