食管基底细胞样鳞癌的诊断和治疗  

The Diagnosis and Treatment of Basoloid Squamous Cell Carcinoma of the Esophagus

作　　者：石殿鹏[1] 王颖[2] 李道堂[1] 张百江[1] 张为迪[1] 

机构地区：[1]山东省肿瘤医院胸外科 [2]山东省医学科学院附属医院检验科济南250062

出　　处：《四川肿瘤防治》2003年第4期200-202,共3页Sichuan Journal of Cancer Control

摘　　要：目的:探讨食管基底细胞样鳞癌的临床病理特征、诊断及治疗方法的选择。方法:对手术治疗的食管基底细胞样鳞癌13例的临床资料进行回顾性分析。结果:食管基底细胞样鳞癌的临床表现和影像学特征与鳞癌相似,以溃疡型多见;治疗以手术为主。本组手术切除率.100％,无手术并发症,无围术期死亡,1年、2年、3年生存率分别为61.54％、7.69％、0％。结论:食管基底细胞样鳞癌是高度恶性肿瘤,进展快,转移早,其最终确诊有赖于食管镜活检或手术标本病理检查;根治性手术配合纵隔放疗是其首选治疗方法,探讨合理的化疗有助于提高患者的生存质量。Objective: To study the basoloid squamous cell carcinoma of the esophagus on the characteristics of clinicopathology, diagnosis and treatment. Methods: The clinicopathologic features of 13 cases of basoloid squamous cell carcinomas of the esophagus were studied. Results: The tumors were mainly localized at the middle third of esophagus and had poor prognosis with a mean survival time of 14.9 months.The survival rate after operation of 1,2,3years were 61.54% ,7 .69%and 0% respectively.Conclusion: The basoloid squamous cell carcinoma of the esophagus is a high-malignant carcinoma with poor prognosis. Radical resection combined with radiotherapy is the primary treatment for it, and it is worthy of further study on effective chemotherapy.

关 键 词：食管基底细胞样鳞癌 手术治疗 临床研究 病例分析 溃疡 

分 类 号：R735.1[医药卫生—肿瘤]