Global Multicenter Prospective Study

TIGER Study

Transnational Investigation of Gastro-Esophageal Resection

Mapping lymph node metastasis patterns in esophageal cancer to optimize surgical lymphadenectomy across leading institutions in many countries worldwide.

Institutions

Countries

Patients Enrolled

10+

Publications

About the TIGER Study

The TIGER Study is a global multicenter prospective study designed to map the patterns of lymph node metastasis in esophageal cancer. By collecting detailed surgical and pathological data from institutions worldwide, we aim to establish evidence-based guidelines for optimal surgical lymphadenectomy.

Understanding which lymph node stations are most frequently involved in metastatic disease — and how these patterns vary by tumor location, histological type, and patient factors — is critical for improving surgical outcomes and long-term survival in esophageal cancer patients. The TIGER Study addresses this knowledge gap through standardized prospective data collection on an international scale.

Primary Endpoint

Lymph node metastasis patterns by tumor location and histology

Secondary Endpoints

Survival outcomes, surgical complications, and quality metrics

How It Works

Joining the TIGER Study is straightforward. Follow these three steps to become a contributing member of our global research network.

1

Apply for Membership

Submit your institution's application through our online portal. We review applications from accredited surgical centers with experience in esophageal cancer resection.

2

Register & Enter Data

Once approved, register your team and begin entering patient data through our secure electronic case report form (eCRF). Training materials and support are provided.

3

Access Analytics & Benchmarks

Compare your surgical outcomes against global, regional, and volume-matched benchmarks. Access analytics dashboards, participate in sub-studies, and co-author publications.

Participating Institutions

A growing network of surgical centers across six continents, contributing real-world data to advance esophageal cancer surgery.

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Recent Publications

Peer-reviewed research generated by the TIGER Study consortium, contributing to evidence-based surgical oncology.

Lymph node metastasis patterns in esophageal adenocarcinoma: results from the TIGER study

Annals of Surgery

2025Original Article

Impact of surgical approach on lymph node yield in esophagectomy: a multicenter analysis

European Journal of Cardio-Thoracic Surgery

2025Original Article

Global variation in perioperative outcomes after esophagectomy: the TIGER registry

British Journal of Surgery

2024Cohort Study

Optimal lymphadenectomy extent in squamous cell carcinoma of the esophagus

The Lancet Oncology

2024Systematic Review

Ready to Contribute?

Join the largest prospective study on lymph node metastasis in esophageal cancer. Apply for membership or contact us to learn more.