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近年来,食管胃交界部腺癌的发病率显著升高,越来越受临床关注。对其治疗除了需要考虑肿瘤的TNM分期、病理类型等相关因素外,还必须格外注意肿瘤所在部位,不同部位肿瘤转移的主要方向存在差别,可能向胸腔或腹腔转移,也可能同时涉及到胸腔与腹腔,手术切除的范围也应有相应的偏重。对不同部位的食管胃交界部腺癌,应根据术前诊断,选择合理的手术入路、切除范围、重建方式以及辅助治疗等。
In recent years, esophageal and gastric junction of the incidence of adenocarcinoma was significantly increased, more and more subject to clinical attention. In addition to the need to consider the tumor TNM staging, pathological types and other related factors, but also must pay special attention to the tumor site, different parts of the main direction of tumor metastasis may be transferred to the chest or abdominal cavity may also involve the chest and The abdominal cavity, the scope of surgical resection should also have a corresponding emphasis. Esophagogastric junction of different parts of the adenocarcinoma, should be based on preoperative diagnosis, select a reasonable surgical approach, resection range, reconstruction and adjuvant therapy.