摘要
目的了解原发性食管癌的生物学特性,探讨合理的综合治疗措施。方法对15例原发性食管腺癌者行手术切除并作病理分析。结果其中食管单纯腺癌12例,腺鳞癌3例,1、3、5年生存率分别为73.3%、63.5%、57.1%。结论因食管腺癌粘膜下浸润能力强,恶性程度高,有早期扩散和转移倾向,预后差,手术是其首选的主要治疗手段,以胸段食管全切、食管胃端侧颈部吻合术为宜,同时应最大限度地清除区域淋巴结。
Objective To explore the biological character of the primary esophageal adenocarcinoma and the reasonable complex treatment measure. Methods 15 cases with primary esophageal adrenocarcinoma were treated by surgical procedure and were confirmed by pathology, clinical pathology, clinical pathology date for the patients with primary esophageal adrenocarcinoma were analysed retrospectively. Results Total survival rates of 1,3 and 5-year were 73.3%,63.6% and 57.1%, respectively. The prognosis was worse than that of the squamous cell carcioma of the esophagus. Conclusion Surgical removal the lesion was the first therapeutic method, and it was necessary that the thoracic esophagus entire resection and the end-side esophagogastric anastromosis in cervical meanwhile removing regional lymph node. The complex treatment measure was under the investigation.
关键词
食管肿瘤
食管腺癌
外科学术
病理学分析
primary
esophagus
tumor
esophageal adrenocarcinoma
surgical treament
pathologic analysis
