贲门癌侵犯食管T分级的探讨  

Exploration of T grading of cardiac carcinoma invading esophagus

作　　者：黄景陶[1] 赵锡江[2] 

机构地区：[1]大港油田集团总医院外科,天津300280 [2]天津肿瘤医院食管科,天津300060

出　　处：《中国肿瘤临床与康复》2006年第3期200-201,共2页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的研究贲门癌侵犯食管病例的合理T分级。方法随机抽取完全随访的贲门癌手术切除病例209例,比较仅因侵犯食管而归为T4组与其他病例的期别生存曲线,再将前组按照不考虑是否侵犯食管而仅考虑侵犯深度的原则重新进行T分级,比较其与后组的期别生存曲线。结果研究组各期的生存曲线均高于对照组而与对照组早一期别的生存曲线较为接近。结论对于贲门癌侵犯食管而无其他邻近脏器侵犯的病例,考虑不列入T4范围。但由于例数所限,仍须更大宗的病例研究以及复杂的统计学检验进一步证实。Objective To study the logical T grading of cardiac carcinoma invading esophagus. Methods 209 cases of cardiac carcinoma receiving surgical resection and complete follow-up were randomly sampled. The survival curve of the group of cases assorted to T4 only because of invading esophagus was compared with that of the group of other cases. The former group was graded again only according to invading depth without considering esophagus invasion, and its survival curve was compared with that of the later group. Results The survival curve of each stage of the study group was higher than that of the control group, and was close to that of the preceding stage of the control group. Conclusion The research proposes that the cardiac carcinoma cases invading only esophagus and not other viscera should not be assorted to T4. Larger series of research and complicated statistical test are needed to further validate the conclusion.

关 键 词：贲门肿瘤 食管 分期 

分 类 号：R735[医药卫生—肿瘤]