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目的研究淋巴结在食管癌转移的规律。方法根治性切除２１９例食管癌患者的癌组织及廓淋巴结１８７９枚并作区域分布的病理分析。结果２１９例根治性切除食管癌患者中６５例有淋巴结转移。其中胸上段食管癌８例中有２例颈深淋巴结转移。胸中段食管癌１８６例中５２例有淋巴结转移，其中伴有隆突淋巴结转移２６例，伴有食管旁、贲门区和胃左动脉旁、左下肺静脉及左下肺韧带淋巴结转移分别为１５、１２、２２、４、５例。胸下段食管癌２５例中有淋巴结转移者１１例，其中伴有食管旁、左下肺韧带、贲门区和胃左动脉旁淋巴结转移分别为１、２、５、８例。左肺动脉淋巴结无１例转移。结论淋巴结在食管癌转移的共性规律是：上段癌向上转移大于向下，下段癌向下转移大于向上，中段癌转移依次隆突区、胃左动脉旁、胸上食管旁、胸下食管旁和贲门区。左肺动脉淋巴结甚少转移。
Objective To study the regularity of lymph node metastasis in esophageal cancer. Methods A total of 1879 patients with oesophageal carcinoma and 1879 lymph nodes were radically resected and pathologically analyzed. Results Of 219 patients with radical resection of esophageal cancer, 65 had lymph node metastasis. Of the 8 patients with upper thoracic esophageal cancer, 2 had deep cervical lymph node metastasis. Among 186 patients with thoracic middle esophageal carcinoma, 52 cases had lymph node metastasis, 26 of them were associated with protuberance lymph node metastases, and lymph node metastases were found in the paraesophageal, cardiac, and left gastric arteries, in the left lower pulmonary vein, and in the left lower lung ligament, respectively. 22, 4, and 5 cases. There were 11 cases of lymph node metastasis in 25 cases of lower thoracic esophageal cancer, among which there were 1,2,5,8 cases of lymph node metastasis with paraesophageal, left lower lung ligament, cardia area and left gastric artery. There was no metastasis in the left pulmonary artery lymph node. Conclusions The common pattern of lymph node metastasis in esophageal cancer is that the upper cancer metastasis is greater than the lower, the lower metastasis is greater than the lower, the metastasis of the middle segment is the sequence of the bulge, the left gastric artery, the thoracic esophagus, and the thoracic esophagus. Zhimen District. Left lung artery lymph nodes are rarely metastasized.