摘要
目的 探讨提高食管癌根治性切除疗效的途径。方法 报告并分析了９ 例食管癌转移至胃病例的临床与病理资料。结果 手术时发现４ 例，尸检发现３ 例，食管癌手术后２ 年１０ 个月胃镜检查发现并经病理证实１ 例，食管癌放疗后胃造瘘时发现并经病理证实１ 例。胃内转移灶直径１ ～８ ｃ ｍ 。癌灶位于胃小弯５ 例，胃底部３ 例，胃大弯１ 例。食管与胃内病变之间的距离４ ～８ｃ ｍ 。结论 胃内转移灶大多位于胃贲门部小弯侧，因此在食管癌外科治疗中，不仅要重视区域淋巴结的清扫，而且对食管的切除要有足够的长度和切除范围，不应在贲门以上离断食管，应包括胃贲门部和小弯部位，有利于清除胃壁内转移灶，以提高食管癌根治性切除的疗效。
Objective To expore a more effective procedure for radical esophagestomy.Methods Esophageal carcinoma metastatic to stomach was analyzed in 9 patients.Results Four were discovered in surgery and three at autopsy,and one in FOG two year and ten mouth after esophagectomy,and one in fistulization.The metastases were located at lesser curvature in 5 cases,at gastric fundus in 3 cases and 1 case at greater curvature.Conclusion The metastatic lesions within stomach are mostly located in the gastric cardia and the lesser curvature.It is suggested that for clearance of metastatic focus in stomach and improving the radical esophagestomy effect,the operation field must be extended to the area including gastric cardia and lesser curvature.
出处
《实用癌症杂志》
2000年第1期56-57,共2页
The Practical Journal of Cancer
关键词
食管癌
胃转移瘤
病例报告
Esophageal carcinoma
Metastatic spread
Stomach
