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我院于1979年4月至1989年10月间,经手术切除和病理证实的1776例食管癌中,原发性食管腺癌47例(2.65％)。男32例,女15例。年龄为39～68岁(中位55.7岁)。前24例细胞学检查,21例诊断为食管鳞癌,误诊率87:75％。47例均行食管癌切除。其中34例行食管胃弓上吻合术,13例行颈部吻合术。术后病理检查区域淋巴结有转移者24例,切端残存癌3例。切除后5年生存率28.6％。作者认为食管腺癌的确诊必须根据手术标本作组织学分析。
In April 1979 to October 1989 in our hospital, of 1776 cases of esophageal cancer confirmed by surgery and pathology, 47 cases (2.65%) of primary esophageal adenocarcinoma. There were 32 males and 15 females. Age is 39 to 68 years old (median 55.7 years old). The first 24 cases of cytology, 21 cases diagnosed as esophageal squamous cell carcinoma, misdiagnosis rate of 87:75%. All the 47 patients underwent esophageal cancer resection. Among them, 34 patients underwent anastomosis of the esophagogastric bow and 13 patients underwent neck anastomosis. Postoperative pathological examination of regional lymph node metastasis in 24 cases, residual cancer in the cut end in 3 cases. The 5-year survival rate after resection was 28.6%. The authors believe that the diagnosis of esophageal adenocarcinoma must be based on histological analysis of the surgical specimen.