从食管癌多癌灶及壁内外播散探讨手术范围  

Surgical range of esophagus cancer which have multiple lesion or different infiltration

作　　者：洪明[1,2] 陈锦辉[1,2] 陈金坝[1,2] 

机构地区：[1]厦门市第一医院肿瘤科,福建361003 [2]厦门市第一医院病理科,福建361003

出　　处：《中国肿瘤临床与康复》2003年第1期72-74,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的 探讨胸段食管癌根治性手术切除的长度和广度。方法 对1992年3月～1996年1月食管癌全胸段食管切除标本连续切片结果及淋巴结转移情况进行研究。结果 癌灶黏膜下浸润食管长度在3.3 cm以下;黏膜多灶癌相距最长长度7.4 cm;黏膜下癌栓可扩散2.48 cm。4％的病例食管肿瘤上缘5 cm以上的食管壁有多灶癌,食管中段癌淋巴结转移特点为上下双向转移;食管下段癌主要沿食管壁下行转移至腹腔淋巴结,4％的病例有颈部及上纵隔淋巴结转移。结论 建议胸内各段食管癌均作全胸段食管切除及纵隔和腹腔淋巴结清扫,有利于癌瘤彻底切除。Objective To discuss the range of esophagectomy performed in thoracic esophagus cancer. Methods The result of continuous section of surgical speciman and the status of lymph node raatastasis of thoracic esophageal cancer were studied from March 1991 to January 1996. Results It showed that neoplastic infiltrate distance was 3.3 cm, distance of multiple site was 7.4 cm. Submuccus embolus of carcinoma diffused 2.48 cm. Multiple neoplastic lesion could be found 5 cm upper from tumor margin in 4% of all cases. Di-direction lymph node me-tastases was the character of middle esophageal cancer. Inferion segment-esophageal cancer metastasis along esophageal region lymph to abdomen ;matastases to cervical lymph node and upper medistinal lymph node was found in 4% cases. Conclusion Esophagectomy and mediastinal and abdominal lymph node elimination shoud be taken in thoracic esophagus cancer in order to eradicate cancer.

关 键 词：食管癌 多癌灶 壁内外播散 手术范围 食管切除术 

分 类 号：R735.1[医药卫生—肿瘤] R730.56[医药卫生—临床医学]