论文部分内容阅读
目的 :了解原发性食管腺癌的生物学特性 ,探讨合理的综合治疗措施。方法 :对 4 5例原发性食管腺癌患者的临床病理资料进行回顾性分析。结果 :其中食管单纯腺癌 32例 ,腺鳞癌 13例 ,1、3、5年生存率分别为 71 1%、53 1%和 4 7 0 %。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 ,同时应最大限度的清除区域淋巴结
Objective: To understand the biological characteristics of primary esophageal adenocarcinoma and to explore a reasonable comprehensive treatment. Methods: The clinical and pathological data of 45 patients with primary esophageal adenocarcinoma were retrospectively analyzed. Results: There were 32 cases of esophageal simple adenocarcinoma and 13 cases of adenosquamous carcinoma. The 1, 3, 5 year survival rates were 71 1%, 53 1% and 47 0% respectively. Conclusion: Due to submucosal infiltration of esophageal adenocarcinoma, high degree of malignancy, early diffusion and metastasis tendency, poor prognosis, surgery is the first choice of the main treatment, thoracic esophageal resection, esophageal and gastric anastomosis It is appropriate, at the same time should maximize the clearance of regional lymph nodes