54例早期食管癌的内镜及临床病理特征分析  

The endoscopic and clinicopathologic characteristics of 54 cases with early esophageal carcinoma

作　　者：魏文俊[1] 潘宏年[1] 汤海涛[1] 

机构地区：[1]安徽医科大学附属六安医院(六安市人民医院)消化内科,237005

出　　处：《安徽医学》2013年第6期737-738,共2页Anhui Medical Journal

摘　　要：目的探讨早期食管癌的内镜与临床病理特征,以提高早期食管癌的诊治水平。方法回顾分析经手术后大体标本病理证实的早期食管癌54例的临床资料、内镜表现及病理特征。结果男性39例,女性15例;发病高峰年龄为51～70岁46例(占85.2%);食管上段3例(5.6%),食管中段35例(64.8%),食管下段16例(29.6%)。内镜分型:隐伏型、斑块型、糜烂型、乳头型分别为13.0%、53.7%、22.2%和11.1%;病理分型:鳞癌、腺癌分别为83.3%和16.7%,其中黏膜内癌15例(27.8%),黏膜下层癌39例(72.2%)。结论早期食管癌好发于51～70岁男性,食管中段系好发部位,内镜下表现以斑块型多见,鳞癌为主,内镜检查结合活检是发现早期食管癌的重要手段。Objective To explore the endoscopic and clinicopathologic characteristics of early esophageal carcinoma and raise the diagnosis rate of it. Methods A retrospective analysis was made in the 54 cases of the early esophageal carcinoma proved by operation in our hospital. Results Of the 54 cases （39 men and 15 women）, the ratio of male/female was 2.6：1. The peak years of invasive age were from 51 to 70 years.The ratio of the upper esophagus, middle part and lower part was 5.6%, 64.8% and 29.6%, respectively.As for the endoscopic type, the percentage of the hidden type, block type, erosive type and papillary type was 13.0%, 53.7%, 22.2% and 11.1%, respectively.The ratio of the squamous carcinoma and the adenocarcinoma was 83.3%and 16.7%,respectively,72.2%of which was submueosal carcinoma. Conclusion Early esophageal carcinoma often occurs in males of 51 to 70 years old, and median esophagus is the predilection site. The block type and squamous carcinoma are its main type. Gastroscopic inspection combined with biopsy is an important method in detecting early esophageal cancer.

关 键 词：早期食管癌 内窥镜检查 临床病理 

分 类 号：R735.1[医药卫生—肿瘤]