食管罕见恶性肿瘤——15例癌肉瘤临床病理分析  

Esophageal Carcinosarcoma—A Report of 15 Cases

作　　者：杨钟波[1] 郭启祥[1] 洪庆南 

机构地区：[1]福建省泉州市福建医学院附属二院肿瘤科,福建泉州362000 [2]福建省泉州市一八医院外科,福建泉州362000

出　　处：《肿瘤防治杂志》2001年第1期54-55,共2页China Journal of Cancer Prevention and Treatment

摘　　要：目的 :探讨食管癌肉瘤的诊断方法与合理的治疗措施。方法 :回顾性分析 1980～ 1995年手术治疗食管 (贲门 )恶性肿瘤 34 0 0例的临床资料。结果 :食管癌肉瘤 15例 ,发生率为 0 .4 4 %。X线表现为食管腔内巨大充盈缺损 ,食管镜检报告多为鳞癌。病理特征为癌与肉瘤两种成分并存 ,无鳞状上皮癌与肉瘤之间的过渡形态。结论 :尽管术前诊断率低 ,但胃镜检查仍是最有价值的术前诊断方法 ,根治性手术切除是最有效的治疗手段。其手术切除率高 ,极少转移 。Objectives To explore the diagnosis and treatment of esophageal carcinosarcoma. Methods From 1980 to 1995, 3 400 patients with esophageal cancer treated surgically were analyzed retrospectively, Results 15 cases of carcinosarcoma were diagnosed histologically,occuping 0.44%. Usually the lesion displays a large filling defect in X ray imaging. The pathological diagnosis is squamous carcinoma.The pathological feature showed the disease composed of carcinoma and sarcoma.Condusions Although the preoperative diagnosis rate is, the stomachoscopy is low,the most valuable method of diagnosis. Radical resection is the most effective treatment method, it has a high resectability, less metastasis.The prognosis is favorable.

关 键 词：食管肿瘤 癌肉瘤 病理 外科手术 

分 类 号：R735.1[医药卫生—肿瘤]