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利用纤维胃镜确诊的胃、食道癌患者,同时检查双侧锁骨淋巴结及腹块。结果发现晚期胃癌锁骨淋巴结转移阳性率7.5％,食道癌33％;锁骨淋巴结转移与病程无关;有腹块者常伴锁骨淋巴结转移;进展期Ⅲ、Ⅵ型胃癌锁骨淋巴结转移发生率高;肿瘤生长部位越高,范围越广泛,锁骨淋巴结转移机会越大;老年人易有锁骨淋巴结转移倾向;低分化腺癌、腺癌和鳞状细胞癌淋巴结转移发生率高。
Using gastroscopic diagnosis of stomach, esophageal cancer patients, while checking the bilateral clavicular lymph nodes and abdominal mass. The results showed that the positive rate of lymph node metastasis was 7.5% in esophageal cancer and 33% in esophageal cancer. Clavicular lymph node metastasis was not related to the course of disease. Abdominal lumps were often associated with clavicular lymph node metastasis. The incidence of advanced lymph node metastases in type III and type VI gastric cancer was high. The higher the site, the more extensive the range, the greater the chance of lymph node metastasis of the clavicle; the elderly tend to have the tendency of clavicular lymph node metastasis; and the incidence of lymph node metastasis in poorly differentiated adenocarcinoma, adenocarcinoma and squamous cell carcinoma is high.