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食管腺癌

Adenocarcinoma of the Esophagus

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【作者】 王弼; 钱宏;

【Author】 Wang Bi Department of Thoracic Surgery Jiangsu Institute of Cancer Research,Nanjing

【机构】 江苏省肿瘤防治研究所胸外科; 江苏省肿瘤防治研究所病理科;

【摘要】 自1970年5月至1980年6月,经手术病理检查或食管镜活检证实的1,123例食管癌中,食管腺癌12例(1.07%)。其中一般腺癌4例,鳞腺癌8例。7例手术切除,6例已死亡(1年内4,2年內2)仅1例术后已3年尚健在。由于腺癌有明显的早期扩散和转移倾向,故手术及放疗均不满意。作者指出,如食管镜活检已明确腺癌的病人,宜尽早手术治疗。术中发现转移或切除不彻底的病人,可加用放疗等综合治疗。

【Abstract】 Of 1123 cases of esophageal cancer histologically confirmed after surgical operation or by esophagoscopic biopsy between May 1970 and June 1980, adenocarcinomas were identified in 12 cases (four adenocarcinoma and 8 squamo-adenocarcinoma). of 7 patients with resection, 6 died, 4 within one year and 2 in two years. One patient was alive and well three years after operation. The prognosis of adenocarcinoma is worse than that of squamous carcinoma of the esophagus because of its propensity of spread and metastasis. Once the diagnosis of adenocarcinoma is established, surgery should be undertaken as early as possible. If a regional metastasis is found at operation or the excision incomplete, postoperative combined modality of treatments including radiotherapy should be considered.

  • 【文献出处】 肿瘤临床 ,Chinese Journal of Clinical Oncology , 编辑部邮箱 ,1984年02期
  • 【被引频次】9
  • 【下载频次】27
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