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目的探讨食管胃同时性双原发癌综合治疗方法。方法对2006年10月至2011年2月江苏省中医院消化系肿瘤外科8例食管胃同时性双原发癌病人的治疗过程进行分析,探讨综合治疗对食管胃同时性双原发癌的经验。结果 8例均经胃镜活检病理明确诊断,1例在诊断后10个月死亡,1例在20个月发现转移,6例无复发生存时间超过24个月,随访至今。结论应根据不同病情制定个体化治疗方案,包括根治性胃食管癌切除术、内镜下黏膜切除术和新辅助放化疗以及术后化疗等。过度追求手术治疗并不能取得理想的效果。
Objective To explore the comprehensive treatment of esophageal and gastric double primary cancer. Methods From October 2006 to February 2011 in Jiangsu Provincial Department of Gastroenterology, Department of Gastroenterology, 8 cases of simultaneous treatment of esophageal and gastric double primary cancer patients were analyzed to explore the comprehensive treatment of esophageal simultaneous double primary cancer experience . Results Eight cases were diagnosed by gastroscope biopsy, one case died at 10 months after diagnosis, one case had metastasis at 20 months, and 6 cases had no recurrence for more than 24 months and were followed up till now. Conclusion Individualized treatment plans should be formulated according to different conditions, including radical resection of gastric cancer, endoscopic mucosal resection, neoadjuvant chemoradiation and postoperative chemotherapy. Over-pursuit of surgery and can not achieve the desired results.