摘要
目的探讨性别对食管癌病理资料的影响。方法对本院1141例食管癌手术病例按男性及女性分组,分别对食管癌患者的发病年龄、发病部位、大体类型、癌细胞组织学分类及分化、淋巴结转移率和转移度,以及病理分期进行统计分析。结果男性平均发病年龄为55.34岁,女性为56.31岁,男性患者发病年龄早于女性(P<0.05)。女性患者发病部位较男性偏上(P<0.05)。进展期食管癌大体类型中男性溃疡型比例大于女性,其余三型比例均小于女性(P<0.05)。男性淋巴结转移率(P<0.05)及转移度(P<0.01)均高于女性。女性患者术后病理分期早于男性(P<0.05)。男性及女性患者早期食管癌大体类型、组织学分类和分化间差异无显著性。结论性别对食管癌发病年龄、发病部位、进展期大体类型、淋巴结转移率和转移度、病理分期均有影响。
Objective To study the influence of the sex on the pathology of the esophageal carcinoma.Methods The postoperative pathology of esophageal carcinoma was analyzed with relation to the age of onset of the carcinoma,the location of the carcinoma,the gross classification,the histological classification and differentiation,the lymph node metastasis rate(the lymph nodes metastasis as percentage of the total removed lymph nodes),the lymph node metastasis degree and the pathological stage in 1141 male and female patients with undergoing operations.Results The average age of onset of the carcinoma in the males was 55.34 years, while in the females was 56.31 years( P <0.05).The location of the carcinoma in the females was higher than that in the males( P < 0.05 ). Among the gross classification of the progressive esophageal cancers,the ulcer type in the males was more frequent than in the females, while the other 3 types in the males were less than in the females( P <0.05). The lymph node metastasis rate and degree were higher in the males than in the females( P <0.05, P <0.01).The pathological stage in the males was later than in the females( P <0.05).The difference in the gross classification of early tumor,the histological classification and grade between males and females were not significant.Conclusion The sex can influence the age of onset of the carcinoma,the location of the carcinoma,the gross classification of the progressive tumor, the lymph node metastasis rate and degree and the pathological stage of esophageal carcinoma.
出处
《中国肿瘤临床与康复》
2004年第4期293-295,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
