摘要
目的:探讨青年人食管癌的特点和外科治疗。方法:回顾性分析手术治疗的50例青年人(≤40岁)食管癌和同期100例(按1:2比例随机抽取)中老年(>40岁)食管癌病人的临床病理资料和手术治疗情况。结果:青年人食管癌病人误诊率高.肿瘤病理分化差,浸润度深,区域淋巴结转移率高,TNM分期Ⅲ、Ⅳ期比例高,术前合并症和术后并发症发生率低。结论:青年人食管癌恶性程度高、易误诊,应早期诊断治疗,采取以手术为主的综合治疗。
Objective: To explore the characteristics and surgical treatment of esophageal carcinoma in young patients. Methods: We performed a retrospective review of 50 young patients (≤40 years) and randomly selected 100 older patients (>40 years) who underwent surgical treatment for esophageal carcinoma. Compared with their clinical, pathological characteristics and surgical treatment. Result: The young patients of esophageal carcinoma had higher misdiagnosis rate, worse pathological differentiation, higher regional lymph node metastasis, deeply invasion, higher proportion of TNM stage Ⅲ and Ⅳ, lower preoperative complications and postoperative complications than older patients. Conclusion: The young patients of esophageal carcinoma have higher malignant degree and be easy to misdiagnose. Early diagnosis and treatment is crucial important, They should be given multiple-modality treatment based on surgical operation.
出处
《新疆医科大学学报》
CAS
2005年第7期647-648,651,共3页
Journal of Xinjiang Medical University
关键词
食管癌
青年人
外科治疗
esophageal carcinoma
young
surgical treatment