论文部分内容阅读
食管原发性腺癌临床上较少见,本组手术治疗食管癌692例,其中原发性腺癌9例,占1.3%,现报告如下。临床资料男7例,女2例,年龄40～49岁2例,50～59岁者5例,60岁以上者2例。患者均因进食受阻来院检治,病程1～3个月者6例,5～6个月者3例。9例均经X线食管钡检而诊断食管下段癌,病灶范围均在3～5cm间。9例均经剖左胸手术切除癌灶,在胸内作食管胃端侧吻合术7例;对端吻合术2例。癌灶最大径均大于3cm,且都侵犯食管肌层。病理诊断原发性腺癌(2例低分化腺癌),其中3例伴淋巴结转移。术后无严重并发症,无手术死亡,皆痊愈出院。
Primary esophageal adenocarcinoma is rare in clinical practice. In this group, 692 cases of esophageal cancer were treated surgically, including 9 cases of primary adenocarcinoma, accounting for 1.3%. The present report is as follows. Clinical data were 7 males and 2 females, 2 cases aged 40-49 years old, 5 cases aged 50-59 years, and 2 cases older than 60 years old. All patients were hospitalized due to eating restriction. The duration of disease was 1 to 3 months in 6 cases and 5 to 6 months in 3 cases. Nine cases were diagnosed with lower esophageal cancer by X-ray esophageal examination. The lesions ranged from 3 to 5 cm. Nine cases underwent left thoracic surgery for resection of cancer, 7 cases of esophagogastric end-to-side anastomosis in the chest, and 2 cases of end-to-end anastomosis. The maximum diameter of the foci was more than 3cm, and both of them violated the esophageal muscularis. Pathological diagnosis of primary adenocarcinoma (2 cases of poorly differentiated adenocarcinoma), of which 3 cases with lymph node metastasis. No serious complications occurred after surgery, and no surgical death occurred. All were discharged and discharged.