论文部分内容阅读
近17年(1964~1980)我们治疗了1,895例食道癌。病变范围从咽下部至贲门,平均年龄为59.9岁,男女的比例为4∶1。肿瘤位置的分布为:咽下部126例(6.6%)、颈部44例(2.3%)、上纵隔140例(7.4%)、中1/31,021例(53.9%)、下1/3 367例(19.4%)、贲门189例(10.0%),另有8例部位不详。77.7%病变为鳞癌、腺癌占9.4%、退行发育癌为5.2%。只有24.1%病变局限于食道,探查病人中有24.2%纵隔淋巴腺受到侵犯,气管支气管浸润及气管食道癌发生率分别为25.9%及5.0%。我们对食道癌治疗的态度,无论何时有可能即做切除,共完成996例(52.9%),因局
In the past 17 years (1964-1980), we treated 1,895 cases of esophageal cancer. The lesion ranged from the hypopharynx to the cardia, with an average age of 59.9 years and a ratio of 4:1 for men and women. The distribution of tumor location was 126 cases (6.6%) in the hypopharynx, 44 cases (2.3%) in the neck, 140 cases (7.4%) in the upper mediastinum, 1/31% in the 021 cases (53.9%), and 367 cases in the lower third (367 cases). 19.4%), 189 cases (10.0%) of the fontanelle, and another 8 cases are unknown. 77.7% of the lesions were squamous cell carcinoma, adenocarcinoma 9.4%, and degenerative cancer 5.2%. Only 24.1% of the lesions were confined to the esophagus, and 24.2% of mediators had mediastinal lymph gland involvement. The incidence of tracheobronchial infiltration and tracheoesophageal cancer was 25.9% and 5.0%, respectively. Our attitude towards the treatment of esophageal cancer, whenever it is possible to do resection, a total of 996 cases (52.9%) were completed.