贲门癌淋巴结转移特点及临床意义  

Lymphatic Metastasis Characteristics of Astric Cardia Cancer and Clinical Significance

作　　者：肖建安[1] 王青兵[1] 

机构地区：[1]河南省安阳市肿瘤医院外一科,安阳市455000

出　　处：《医药论坛杂志》2009年第15期26-27,共2页Journal of Medical Forum

摘　　要：目的探讨贲门癌淋巴结转移规律及其对临床的指导意义。方法回顾性分析638例贲门癌患者临床资料及回访资料。结果所有病例均以腺癌为主,SiewertⅢ型占全组的61.3%,SiewertⅠ、Ⅱ和Ⅲ型的胸部淋巴结转移率分别为14.2%、9.1%和1.5%,差异有统计学意义,腹腔淋巴结转移率分别为65.3%、68.7%和72.6%,腹腔淋巴结总转移率达70.8%,差异无统计学意义;Ⅲ型贲门癌5年生存率仅30.9%,明显低于SiewertⅠ型63.3%和Ⅱ型52.5%患者差异有统计学意义。结论贲门癌淋巴结转移具有双向性,但以腹部转移为主,手术时因注意术式选择并注意腹腔淋巴结的彻底清扫。Objective To investigate the metastasis characteristics of gastric cardia cancer, and make a line for clinical treatment. Methods Clinicopathologic and follow - up data of 638 cancer patients treated from Mar, 2000 to Dec, 2004 were analyzed retrospectively. Results Most patients were adenocarcinoma, and the proportion of Siewert type m was higher than that of the others. The rate of lymph node of thoracic cavity metastasis was 14.2% for Siewert type Ⅰ ,9. 1% for type Ⅱ , and 1.5 % for type Ⅲ respectively, and there was a significant difference;while the rate of abdominal metastasis was 65.3% ,68.7% and 72.6%, accordingly, and the variance was a nonsignificant difference. The survival rate of Siewert type Ⅲ was 30. 9% ,less than the rate of type Ⅰ 63.3% and type Ⅱ 52.5% ,and there was a significant difference between them. Couclusion The lymph metastasis of gastric cardia cancer was ambidirectional, but abdominal cavity was the principal way, in the surgery for carcinoma of gastroesophageal junction,lymph nodes in abdominal cavity should be removed thoroughly.

关 键 词：贵门癌 淋巴转移 特点 

分 类 号：R735.2[医药卫生—肿瘤]