16例食管贲门双源癌的临床分析  

Clinical Analysis of 16 cases Multiple-primary Carcinoma of Esophagus and Cardiac

作　　者：陆巍[1] 李开河[1] 赵之乔 

机构地区：[1]广东省汕头市第二人民医院外四科,广东汕头515011

出　　处：《河北医学》2007年第4期421-423,共3页Hebei Medicine

摘　　要：目的:探讨食管贲门双源癌的诊断和手术方式,提高术前诊断率及外科治疗方法。方法:回顾性分析我科1995年1月至2006年12月,16例食管贲门双源癌的临床治疗资料。结果:术前确诊6例,内腔镜检查诊断率18.8%(3/16),X线检查诊断率31.3%(5/16),术中及术后确诊9例(9/16)。本组16例均行手术治疗,手术无死亡。结论:本病术前诊断主要依靠内镜检查及X线钡餐检查确认。术前检查不能仅满足于发现一个病灶,以避免多发灶的漏诊,并积极进行外科治疗,有望改善治疗效果。Objective： To explore the diagnosis and operative treatment of multiple -primary carcinoma of esophagus and cardiac, improve the operative measure and enhance the confirmed diagnosis rate of pre - operation. Method： The clinical datas of 16 patients with multiple carcinoma of esophagus and cardiac were analyzed retrospectively from Jan. 1995 to Dec. 2006. Result： 6 patients were diagnosed confirmatively in pre-operation including 3 （3/16） through encloscope and 5 （5/16） by X- ray examination. The other 9 patients were in intraoperation or postoperation. None of them died during operation for all patients. Conclu- sion： Encloscope and barium meal are effective measure for confirmed diagnosis of esophagus carcinoma pre -operatively. Multiple- primary carcinoma need be noticed especially in examination. Surgical is still the top priority in the selection of treatment.

关 键 词：食管癌 贲门癌 双原发灶 

分 类 号：R735[医药卫生—肿瘤]