摘要
目前,食管癌根治术中淋巴结的清扫方式仍未达成共识,尤其是新辅助治疗后的淋巴结清扫的数目与范围,且该类患者淋巴结清扫数目对肿瘤术后病理学N分期灵敏度较低,故对该类患者淋巴结清扫意义尚待进一步确认。不论以何种方式进行淋巴结清扫,胸部淋巴结的清扫是必需的。《食管癌根治术胸部淋巴结清扫中国专家共识(2017版)》参照美国癌症联合会/国际抗癌联盟(AJCC/UICC)标准和t3本食管协会(JES)标准提出了食管癌胸部淋巴结分组的中国标准,以期更符合我国患者的现实需要。
At present, no consensus has been reached on the methods of dissection of lymph nodes in radical resection of esophageal carcinoma, especially the number and range of lymph node dissection after neoadjuvant therapy, and the sensitivity of the number of lymph node dissection to the pathological N stage after neoadjuvant therapy is low. Therefore, the significance of lymph node dissection needs to be further confirmed. The dissection of the chest lymph nodes is necessary, regardless of the method of lymph node dissection. According to the American Joint Commission for Cancer (AJCC)/Union for International Cancer Control (UICC) and the Japan Esophagus Society (JES) standards, Chinese expert consensus on mediastinal lymph node dissection in esophagectomy for esophageal cancer (2017 edition) puts forward the Chinese standard of the thoracic lymph node grouping of esophageal carcinoma in order to meet the practical needs of Chinese patients.
作者
郑硕
游宾
胡滨
李辉
Zheng Shuo;You Bin;Hu Bin;Li Hui(Department of Thoracic Surgery,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China)
出处
《肿瘤研究与临床》
CAS
2018年第9期577-580,共4页
Cancer Research and Clinic
关键词
食管肿瘤
胸外科手术
淋巴结切除术
新辅助治疗
Esophageal neoplasms
Thoracic surgical procedures
Lymph node excision
Neoadjuvant therapy