Can extracapsular lymph node involvement be a tool to fine-tune pN1for adenocarcinoma of the oesophagus and gastro-oesophageal junction in the Can extracapsular lymph node involvement be a tool to fine-tune pN1for adenocarcinoma of UICC TNM 7th edition?

Extracapsular spread of cancer cells is associated with poorer outcome compared to intracapsular limitation in positive lymphnodes in patients with adenocarcinoma of the oesophagus and gastro-oesophageal junction. This finding is not reflected by the current tumour staging system.