异时性多原发上消化道肿瘤  

Metachronous multiple primary upper gastrointestinal carcinoma

作　　者：朱一苗[1] 潘文胜[2] 

机构地区：[1]浙江大学医学院附属第二医院滨江院区消化内科,浙江杭州310000 [2]浙江大学医学院附属第二医院消化内科,浙江杭州310009

出　　处：《实用肿瘤杂志》2014年第5期457-460,共4页Journal of Practical Oncology

基　　金：国家自然基金面上项目(81372302);浙江省自然基金(Y12H160121;Y2080001);国家公益卫生行业专项基金(200802112);浙江省科技厅重大科技专项(2009C03012-5;2013C03044-5);浙江省卫生厅一般项目(201343550);浙江省教育厅一般项目(Y201328489)

摘　　要：本文对1例异时性多原发上消化道肿瘤的诊治和随访方案进行讨论,并复习相关文献,认识及探讨异时性多原发上消化道肿瘤的临床特点及合理内镜随访的重要性。内镜技术发展能极早发现早期癌。第二肿瘤好发部位依次为食管、头颈部和胃。高危因素包括酒精代谢及多发食管多灶碘不染区(Lugol-voiding lesion,LVL)。目前最有效的防治方法为合理的内镜随访。One case of metachronous multiple primary upper gastrointestinal carcinoma was reported and related literature was review to investigate its clinical characteristics and the importance of endoscopic surveillance. With the development of endoscopy,early detection of metachronous multiple primary upper gastrointestinal carcinoma increased. The most common site of secondary carcinoma is esophagus,followed by head and neck and stomach. Drinking and multiple Lugol-voiding lesion（ LVL） are the risk factors. The most effective prevention method is endoscopy.

关 键 词：消化系统肿瘤/诊断 消化系统肿瘤/治疗 肿瘤 多原发性 内窥镜检查 随访研究 

分 类 号：R735[医药卫生—肿瘤] R730.4[医药卫生—临床医学]