63例贲门癌胸腔纵隔淋巴结转移特点分析  

Analysis of Metastasis of Thoracic Mediastinal Lymph Nodes in 63 Patients with Cardiac Cancer

作　　者：宋平平[1] 张为迪[1] 孙雪梅[1] 郭洪波[1] 刘曙光[1] 张百江[1] 

机构地区：[1]山东省肿瘤医院胸外科,济南250117

出　　处：《肿瘤防治研究》2011年第7期791-792,共2页Cancer Research on Prevention and Treatment

摘　　要：目的研究贲门癌胸腔内纵隔淋巴结转移特点。方法采用前瞻性分析2008年6月—2009年10月随机选择63例贲门癌患者进行胸腔内纵隔淋巴结清扫并分析其转移特点。结果 63例贲门癌患者腹腔淋巴结转移度、转移率分别为38.39%、66.67%。胸腔淋巴结转移度、转移率分别为10.60%、20.63%。胸腔纵隔淋巴结转移与肿瘤长度、病理分级、浸润深度、肿瘤是否累及食管下段、腹腔淋巴结有关,Logistic回归多因素分析则显示肿瘤是否累及食管下段是主要影响因素。结论贲门癌主要向腹腔、胸腔淋巴结转移,贲门癌淋巴结清扫范围应包括胸腔内纵隔淋巴结与腹腔淋巴结。Objective To study the status of thoracic mediastinal lymph nodes metastasis in patients with cardiac cancer.Methods The data of lymph nodes from 63 patients with cardiac cancer and lymph nodes resection from June,2008 to October,2009 were prospectively analyzed.Results The rate of metastasis of lymph nodes was 20.63% in thoracic cavity and 66.67% in celiac cavity,respectively.Thoracic mediastinal lymph nodes metastases correlated to tumor diameter,depth of tumor invasion,lower esophagus with tumor invasion and celiac lymph nodes.Multivariate Logistic Regression Analysis showed lower esophagus of tumor invasion was the most important influencing factors.Conclusion This study showed that the lymph node metastasis of cardiac cancer tended towards celiac and thoracic cavity,both thoracic and celiac systemic lymphadenectomy are necessary.

关 键 词：贲门癌 淋巴结 转移 

分 类 号：R735.2[医药卫生—肿瘤]