食管多原发癌及食管贲门双原发癌的早期诊断与治疗  

Early diagnosis and treatment of multi-primary esophageal cancer and double primary esophageal and cardiac cancer

作　　者：管福顺[1] 刘志才[1] 赵献军[1] 连永丰[1] 郭建庄[1] 郝长青[1] 

机构地区：[1]林州市肿瘤医院胸外科,河南456550

出　　处：《中华胸心血管外科杂志》2003年第2期80-81,共2页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：目的　探讨食管多原发癌及食管贲门双原发癌的早期诊断及治疗方法。方法　对应用X线钡餐检查及内镜下碘染色确诊 ,并经手术切除病理证实的 71例食管多原发癌和食管贲门双原发癌进行分析。结果　X线钡餐术前确诊 14例 ( 19 72 % ) ,内镜及内镜下碘染色术前确诊 6 9例 ( 97 2 % )。发现早期病灶 5 4个 ,早期病例 6例。全部手术切除 ,无手术死亡 ,3年生存率 40 5 %。结论　对食管癌贲门癌病人应常规进行上消化道钡餐检查 ,并应用内镜下碘染色活检方法提高诊断率 ,发现早期病例 ,同时进行积极的外科治疗 ,可望提高治疗效果。Objective: To study early diagnosis and treatment of multi-primary esophageal cancer and esophageal and cardiac double primary cancer. Methods: The data of 71 cases patients of multi-primary esophageal, double primary esophageal and cardiac cancer were collected. The diagnosis was made by dye staining through gastroscopy and X-ray. Pathological examination after operation was analyzed. Results: 14 patients were diagnosed by X-ray(14/71), 69 by endoscopy (69/71), 54 early foci and 6 early stage patients were found. All of them were operated. The resection rate is 100% with no operative death. 3-year survival rate was 40 5%. Conclusion: Routine X-ray examination of esophagus or stomach, and esophageal dye-staining and/or biopsy through endoscopy are important measures for early diagnosis of multi-primary cancer or esophageal and double primary cardiac cancer prompt surgery is advised.

关 键 词：食管多原发癌 食管贲门双原发癌 早期诊断 外科治疗 X线钡餐 内镜下碘染色 

分 类 号：R735[医药卫生—肿瘤]