食管腺癌77例临床病理分析  

Primary adenocarcinoma of the esophagus: a clinicopathological analysis of 77 cases

作　　者：文载律[1] 罗伟[2] 李文才[3] 梁丽丽[2] 季磊[2] 

机构地区：[1]解放军总医院病理科,北京100853 [2]郑州市第三人民医院病理科 [3]河南医科大学一附院病理科

出　　处：《诊断病理学杂志》2002年第3期173-174,T047,共3页Chinese Journal of Diagnostic Pathology

摘　　要：目的　分析 77例食管腺癌病理组织学类型。方法　采用HE染色法 ,进行病理形态学观察及临床资料分析。结果　单纯性腺癌 48例 (6 2 .3% )、黏液表皮样癌 9例 (11.7% )、腺样囊性癌 8例 (10 .4% )、黏液腺癌 7例 (9.1% )、鳞化腺癌 3例 (3.9% )、腺棘皮癌 2例 (2 .6 % )。结论　食管腺癌发病率较低 ,主要发病年龄在 35～ 5 5岁 ,男性稍多于女性。单纯性腺癌的分化较高、预后较好 ,其 5～ 10年生存率可达 5 0 %～ 75 %以上 ,其余各类预后均差。Objective To study histological typing of primary adenocarcinoma of the esophagus (PAE). Methods 77 cases of?PAE were investigated with HE staining, morphologic observation and clinicopathologic data analyses. Results Of the tumors, 48 cases (62.3%) were simple adenocarcinoma, the rest cases were mucoepidermoid carcinoma (11.7%), adenoid cystoadenocarcinoma (10.4%), mucinous adenocarcinoma (9.1%), squamous adenocarcinoma (3.9%) and acanthoadenocarcinoma (2.6%). Conclusions The simple adenocarcinoma was a well-differentiated tumor and had a good prognosis, but the others had poor prognosis.

关 键 词：食管腺癌 临床病理分析 诊断 治疗 

分 类 号：R735.1[医药卫生—肿瘤]