上消化道多原发癌的X线分析(附34例报告)  

X-ray Analysis of Multiple Primary Cancer of Upper Digestive Tract(A Report of 34 Cases )

作　　者：王汉杰[1] 夏淦林[1] 

机构地区：[1]南通市肿瘤医院放射科,江苏南通226361

出　　处：《实用放射学杂志》2005年第6期602-604,共3页Journal of Practical Radiology

摘　　要：目的探讨上消化道多原发癌的临床X线特点、诊断标准及其发病机理。分析X线误漏诊原因并提出相应解决对策。方法回顾性分析经内镜、手术病理证实的34例上消化道多原发癌的X线资料。结果(1)本病男/女=3.25/1,高龄居多,>50岁者占88%。(2)食管多原发癌中癌灶分布以中、上段居多,占78.8%,食管-胃多原发癌中癌灶分布以食管中、下段、贲门部居多,占72.2%。(3)X线表现与单发癌相同。早期癌占14.5%,进展期癌占85.5%。(4)漏诊率高达32.3%。结论X线检查对上消化道多原发癌具有重要诊断价值。Objective To investigate the clinical X-ray features and diagnostic criteria of multiple primary cancer of upper digestive tract (MPCUDT) as well as its pathogenesis ,and to analyze the causes of X-ray missed or mistaken diagnosis and to put forward the corresponding way of solutions.Methods X-ray findings of MPCUDT proved pathologically were retrospectively analyzed.Results (1)This disease mostly occurred in males .Male/Female=3.25/1. 88% of the patients were older than 50 years ;(2)78.8% of the cases with multiple primary cancer of esophagus were mostly distributed in upper and middle section ,72.2% of the cases with esophagogastric multiple primary cancer were distributed in middle and lower section of esophagus or cardiac part ;(3)The X-ray features of multiple primary cancer were the same as that of single ones .The patients with early carcinoma accounted for 14.5% of all cases , advanced carcinoma 85.5% ;(4)The rate of missed diagnosis was as high as 32.3%.Conclusion X-ray imaging has great value for the diagnosis of MPCUDT.

关 键 词：多原发癌 上消化道 X线摄影术 

分 类 号：R735[医药卫生—肿瘤] R814.3[医药卫生—临床医学]