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30例未切除食管癌临床病理分析

CLINCAL AND PATHOLOGICAL ANALLYSIS OF 30 CASES OF UNRESECTABLE ESOPHAGEAL CARCINOMA
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摘要 我科自1972年6月至1995年1月,手术治疗食管癌共451例,其中30例未能切除,占6.6%。本文分析了上、中、下段食管癌侵犯的部位和淋巴结转移特点,表明中、上段癌易侵犯重要器官和组织,切除率低;各段食管癌淋巴结转移具有一定特点。对估计切除困难者,行CT和纤维支气管镜检查,作术前放疗。并讨论了手术切口的选择及清扫淋巴结的途径。 In the past twenty一three years,we had treated surgically 451 cases ofesophageal carcinoma. anomg them 30 cases could not be resected,accounting for 6. 6%.The invasive position and lymphatic metastasic of upper,middle and lower esophageal car-cinoma are analysed. The rseults indicated that the important organs and tissues are invad-ed often by upper and middleesophageal carcinoma resection rate is lower;lymphaticmetastases are characterized by different location of carcinoma in esophagus.The CT andBF examination and preoperative radiotherapy should be conducted in the cases that are es-timated difficult to resect.The chioce of operative way and method of lymphadenectomyare discussed.
出处 《宁夏医学院学报》 1996年第1期14-15,共2页 Journal of Ningxia Medical College
关键词 食管肿瘤 病理 esophageal neoplasms lymphatic metastasis neoplasm invasiveness,preopera-tive radiotherapy
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