食管肺多源癌一例  

Multiple primary carcinoma of esophagus and lung:A case report

作　　者：曹晔鋆 张启颖[1] 陈国涵[1] 宋樱 李钦传[1] 洪暄[1] CAO Yejun;ZHANG Qiying;CHEN Guohan;SONG Ying;LI Qinchuan;HONG Xuan(Shanghai East Hospital,Tongji University,Shanghai,200120,P.R.China)

机构地区：[1]上海同济大学附属东方医院,上海200120

出　　处：《中国胸心血管外科临床杂志》2021年第1期125-128,共4页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：上海市卫生和计划生育委员会科研基金(201740220)。

摘　　要：随着内镜诊疗技术的普及,食管多源癌的确诊率不断提高,但同时性食管多源癌(合并左侧上叶肺癌,贲门癌)较为罕见。本文报道了1例64岁食管、肺、贲门多源癌的男性患者,完成术前评估后于全身麻醉双腔气管插管下行"一站式复杂根治术"(经左胸食管癌切除、食管胃胸内机械吻合术、贲门癌根治术、左肺上叶癌根治术)。术后患者出现乳糜胸合并症,保守治疗无效后,于单孔胸腔镜下行胸导管结扎术。术后患者恢复良好,随访转归良好。Nowadays,the popularization of endoscopic technology makes a substantial increase in the diagnosis rate of esophageal multiple primary carcinoma.However,the multiple primary carcinoma combined with esophageal cancer,lung cancer and cardiac cancer is relatively rare.This paper reported a 64-year-old male with multiple primary cancer who received one-stage complex radical surgery,including radical resection of esophageal cancer,lung cancer and cardiac cancer.After the operation,the patient presented chylothorax and conservative treatment was ineffective.Then we preformed ligation of thoracic duct through single-portal thoracoscope.The patient recovered successfully after surgery and the follow-up results showed well.

关 键 词：食管癌 肺癌 多源癌 复杂根治术 

分 类 号：R735.1[医药卫生—肿瘤]