多原发性食管癌及食管胃双原发癌的诊断与治疗分析  

Diagnosis and Treatment of Multi-primary Esophagus Cancer and Esophagus-stomach Double Cancer

作　　者：杨钟波[1] 郭启祥[1] 

机构地区：[1]福建医科大学附属第二医院肿瘤科,泉州362000

出　　处：《中国康复》1999年第3期156-157,共2页Chinese Journal of Rehabilitation

摘　　要：为探讨如何提高多原发性食管癌及食管胃双原发癌的诊断率及生存率，对785例食管癌手术治疗患者的资料作了回顾性分析。结果：同时性多原发性食管癌及食管胃双原发癌23例，其术前诊断率39．1％（9／23）．其中食管钡透诊断率为13％（3／23）．胃镜诊断率为50％（9／18）．且异时性多原发性食管癌2例诊断亦由胃镜作出。残端癌2例出现于术前未能明确诊断而行胸内吻合术。提示胃镜检查与食管钡透是术前诊断本病的重要方法，两者缺一不可；尽可能扩大切除范围及术后标本连续切片可防止漏诊及切缘癌细胞残留。: To study how to increase the diagnosis rate and survival rate of the multi-primary esophagus cancer and esophagus-stomach double cancer. 785 patients with esophagus cancer treated by surgery were analyzed retrospectively. The results showed of the 785 patients 23 cases were diagnosed having synchronous carcinoma with the preoperative diagnostic rate being 39. 1 % (9/23), that of esophagogram being 13% (3/23), that of stomachoscopy being 50% (9/18), and 2 cases having metachronous carcinoma under stomachoscopy. It was suggested that the esophagogram and stomachoscopy were important methods for the improvement of preoperative diagnosis rate. Both methods could not be applied alone. The extensive esophagectomy and the careful histodiagnosis after operation can prevent the loss of diagnosis and the margin of resection from tumor.

关 键 词：多原发性 肿瘤 食管癌 贲门癌 胃癌 诊断 治疗 

分 类 号：R735[医药卫生—肿瘤]