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1979年4月至1983年9月,我们共作食管癌和贲门癌切除术636例,术后病理检查报告切缘有癌组织残留者94例。本文分析术后癌残留的原因,并讨论如何降低它的发生率。临床资料本组食管癌和贲门癌切除术后切缘有癌残留的发生率为14.8％,分别统计则食管癌为13.9％,贲门癌为17.4％。在481例食管癌中,肿瘤的部位不同,切缘癌残留的发生率差异亦大,食管上段癌为8.3％(2/24);食管中段癌为15.3％(57/373);食管下段癌为9.5％(8/84)。
From April 1979 to September 1983, we conducted a total of 636 cases of esophageal and cardiac cancer resections. Postoperative pathological examinations reported 94 cases of residual cancerous tissues at the resection margin. This article analyzes the causes of postoperative cancer residuals and discusses how to reduce its incidence. Clinical data The incidence of residual cancer in the margin of resection of esophageal and cardiac cancers was 14.8%. Esophageal cancer was 13.9% and cardia cancer was 17.4%. In 481 cases of esophageal cancer, the tumor site was different, the incidence of cancerous margin at the margin was also different, the upper esophageal cancer was 8.3% (2/24), the middle esophageal cancer was 15.3% (57/373); the lower esophageal cancer It is 9.5% (8/84).