论文部分内容阅读
目的提高食管癌和贲门癌的早期诊断和治疗水平。方法回顾分析我院40例患者的临床资料。结果术前内镜检查、病理检查及术后证实为,原位癌6例,癌侵及黏膜固有层14例,黏膜下癌20例,15例有家族病史,1例有淋巴结转移,转移率为2.5%。2例经胃镜行黏膜病变切除,38例癌肿根治术,5年生存率为95%,38例现均建在,2例死亡(1例因吻合口瘘术后死亡,1例因复发死亡)。结论外科手术治疗是早期食管癌和贲门癌的主要选择治疗方法,只有早期发现、早期诊断,才能早期治疗,才能提高患者长期生存率。
Objective To improve the early diagnosis and treatment of esophageal and cardiac cancer. Methods The clinical data of 40 patients in our hospital were retrospectively analyzed. Results Preoperative endoscopy, pathological examination and postoperative confirmation showed that there were 6 cases of carcinoma in situ, 14 cases of carcinoma invasion and mucosal lamina propria, 20 cases of submucosal carcinoma, 15 cases had family history, 1 case had lymph node metastasis, metastasis rate Is 2.5%. Two cases underwent gastroscopic mucosal lesion resection and 38 cases underwent radical mastectomy. The 5-year survival rate was 95%. 38 cases were both present and 2 died (one died of anastomotic leakage and one died of recurrence ). Conclusion Surgical treatment is the main choice of treatment of early esophageal and cardiac cancer. Only in early detection and early diagnosis, early treatment can be improved in order to improve the long-term survival rate of patients.