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中山医科大附一院1957～1963年和本院1964～1985年5月共收治食管癌1411例。男1211人,女250人。男:女约为5:1。发病年龄最小为23岁,最大为81岁,高峰年龄组为45～59岁。1461例小,873例有籍贯记录,793例有病变部位记录,796例有病程记录,778例有病灶长度记录,798例有随诊3~+年的结果。广东籍的占92.1％,广东汕头地区的占28.9％。有10例诊断后拒绝治疗,自症状出现后其自然过程最长为75个月,最短为16个月,平均为28.3个月。本组食管癌的好发部位为中段占61.5％。复习540例组织切片,鳞癌占92.6％,腺癌占5.2％,鳞腺瘤占0.7％,未分化癌占1.1％,基底细胞癌占0.2％。病灶长为5~+cm者占65.7％,3~-cm者占11.8％。 分析病史资料较全的病例表明:癌组织是否转移
A total of 1411 cases of esophageal cancer were treated in the First Affiliated Hospital of Zhongshan Medical University from 1957 to 1963 and from 1964 to 1985 in this hospital. There are 1211 males and 250 females. Male: Female is about 5:1. The age of onset was a minimum of 23 years and a maximum of 81 years, and the peak age group was 45 to 59 years. 1461 cases were small, 873 cases had birth records, 793 cases had lesions, 796 cases had course records, 778 cases had lesion length records, and 798 cases had follow-up 3 to + years. 92.1% were from Guangdong, and 28.9% from Shantou, Guangdong. There were 10 cases who refused treatment after diagnosis. The natural course of the disease was as long as 75 months since the onset of symptoms. The shortest period was 16 months, with an average of 28.3 months. The prevalence of esophageal cancer in this group accounted for 61.5% of the middle segment. A review of 540 tissue sections revealed 92.6% of squamous cell carcinomas, 5.2% of adenocarcinomas, 0.7% of squamous adenomas, 1.1% of undifferentiated carcinomas, and 0.2% of basal cell carcinomas. Incidence of 5~+cm accounted for 65.7%, 3~-cm accounted for 11.8%. Analysis of medical history data is more comprehensive than the entire case: whether the cancer tissue is transferred