【摘要】 本文对27例癌组织中(食管癌11例贲门癌16例)脉管癌栓阳性病例的术后标本断端残癌进行了研究。断端残癌发生率(25.9%)较对照组(8.9%)明显高(P<0.05)。有脉管癌栓形成的癌组织恶性程度高,浸润范围广,残癌发生率高。对癌组织中癌栓形成与淋巴结转移的关系及其对预后的影响进行了探讨。认为淋巴结转移是癌组织脉管癌栓形成的外在表现。对术中发现或可疑有淋巴结转移者,应适当考虑切除长度,以防残癌发生。更多还原

【Abstract】 A total of 27 resected specimens consisting of 11 cases esophageal and 16 cardiac carcinoma with cancer embli were studied.The results showe that the rate of the residual cancer at the resected margins of the esophagous was higher than that in the contrast group (P<0.05).This suggests that esophageal and cardiac carcinoma with cancer embli is more malignant,more infiltritive and has a higher rate of residual cancer.The relationship be- tween cancer embli and lymphatic metastasis,and the prognosis of the patients with this kind of cancer were discussed.The present report suggests that when lymphatic metastasis has been found while operating on the patient with esophageal and cardiac cancer,the portion for resection of the esophagus be enlarged to prevent the resected margins from having residual cancer.更多还原