摘要
我们对1989年以来24例食管癌根治性放疗后复发进行了外科治疗,本组切除率91.6%,高于国内现有报道。手术死亡率8.2%,术后并发症12.5%,均低于国内报道。术后1、3、5年生存率分别为72.7%、36.3%、18.1%(远期随诊不足),术后病理证实31.8%为放疗反应Ⅲ级。作者认为放疗后复发患者手术适应者,手术优越于再程放疗。术中需严谨操作。
Since 1989,24 cases of recurred esophageal carcinoma patients lafter radical radiotherapyhave been treated by surgery in our department.The resectable rate was 91.6N,which washigher than the early reports in China. Meanwhile the overall montality rate was 8.2% andthe complication rate of post surgery was 12.5%,which were all lower than the early homereports.The 1-,3-,5-year survical rates were 72.7%,36.3% and 18.1 %,respectively(thelong-term follow--up was not satisfactory).After surgery in the specimens we found 31' 8%of them had stage 3 radiotherapeutic reaction.The authors consider that cases of this sort tobe treated by surgery get better result than those of reradiotherapy and careful managementshould be done during operation.
出处
《河南肿瘤学杂志》
1995年第4期294-296,共3页
Henan Journal of Oncology
关键词
食管癌
病理学
放射疗法
外科手术
esophageal carcinoma,radiotherapy,recurrence,surgery,pathology