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目的探讨食管癌伴单侧锁骨上淋巴结转移的手术联合放射治疗的价值及临床意义。方法回顾分析2000年9月至2009年9月所收治食管癌伴单侧锁骨上淋巴结转移患者42例的临床资料。结果手术切除率95.2%(40/42),无围手术期死亡,并发症发生率14.3%。随访8~118个月,3年生存率,5年生存率分别为41.9%,14.1%。结论食管癌伴单侧锁骨上区淋巴结转移患者只要一般情况好,无其他重要器官转移,均可采用手术切除原发灶及转移灶,术后追加放射治疗的综合治疗,可以改善生活质量,延长生存时间。
Objective To investigate the value and clinical significance of surgical combined with radiotherapy for esophageal cancer with unilateral supraclavicular lymph node metastasis. Methods The clinical data of 42 patients with esophageal cancer with unilateral supraclavicular lymph node metastasis from September 2000 to September 2009 were retrospectively analyzed. Results The surgical resection rate was 95.2% (40/42), no perioperative deaths and the complication rate was 14.3%. Follow-up 8 to 118 months, 3-year survival rate, 5-year survival rates were 41.9%, 14.1%. Conclusion As long as the patients with esophageal cancer with unilateral supraclavicular lymph node metastasis are generally in good condition and no other important organ metastases, surgical resection of the primary tumor and metastasis can be used. Combined treatment with additional radiotherapy after surgery can improve the quality of life and extend Survival time.