摘要
目的 探讨胸段食管癌根治性手术切除的长度和广度。方法 对 1994年 2月至 1999年 10月胸段食管癌 32 0例的切除标本连续切片结果及淋巴结转移情况进行研究。结果 粘膜下浸润长度小于 3 2 7cm ,粘膜下癌栓扩散小于 2 4 6cm ;10 9%患者有多灶癌 ,多灶癌相距最长长度 7 4 0cm ,食管中段癌淋巴结呈上、下双向转移 ,食管下段癌主要下行转移至腹腔淋巴结。结论 食管癌可浸润全胸段食管和胸、腹腔淋巴结 ,胸段食管癌均作全胸段食管切除及纵隔和腹腔淋巴结清扫 ,有利于癌瘤彻底切除。
Objective To explore depth and width of esphagus carcinoma invasion.Methods Resection preparations and metastasis,lymphtic knobs were studied in 320 cases of thorax esphagus carcinoma from February 1994 to Octomber 1999.Results Under mucous membrane invading distance is <3.27cm,and carcinoma embolus spreading is <2.46cm.Multiple carcinoma is 10.9%.The longest distance between two foci is 7.40cm.Conclusion Esophagus carcinoma can invade whole thorax esophgus and abdominal lymphatic knobs,esophagectomy and mediastinal and abdominal lymph node elimination should be taken in thoracic esophagus cancer in order to eradicate cancer.
出处
《中国基层医药》
CAS
2004年第10期1157-1158,共2页
Chinese Journal of Primary Medicine and Pharmacy
