食管贲门癌组织中脉管癌栓形成与术后标本断端残癌关系的探讨  

RELATIONSHIP BETWEEN CANCER EMBBLI AND THE RESIDUAL CANCER AT THE RESECTED MARGINS OF THE ESOPHAGUS IN ESOPHAGEAL AND CARDIAC CARCINOMA

作　　者：原志庆[1] 和瑞芝[1] 千高峰[1] 王凤荣[2] 吴国祥[2] 王玉峰 

机构地区：[1]新乡医学院基础医学部病理教研室 [2]河北医学院 [3]河南省荣康医院

出　　处：《新乡医学院学报》1992年第1期13-15,共3页Journal of Xinxiang Medical University

摘　　要：本文对27例癌组织中(食管癌11例贲门癌16例)脉管癌栓阳性病例的术后标本断端残癌进行了研究。断端残癌发生率(25.9%)较对照组(8.9%)明显高(P<0.05)。有脉管癌栓形成的癌组织恶性程度高,浸润范围广,残癌发生率高。对癌组织中癌栓形成与淋巴结转移的关系及其对预后的影响进行了探讨。认为淋巴结转移是癌组织脉管癌栓形成的外在表现。对术中发现或可疑有淋巴结转移者,应适当考虑切除长度,以防残癌发生。A total of 27 resected specimens consisting of 11 cases esophageal and 16 cardiac carcinoma with cancer embli were studied.The results showe that the rate of the residual cancer at the resected margins of the esophagous was higher than that in the contrast group (P<0.05).This suggests that esophageal and cardiac carcinoma with cancer embli is more malignant,more infiltritive and has a higher rate of residual cancer.The relationship be- tween cancer embli and lymphatic metastasis,and the prognosis of the patients with this kind of cancer were discussed.The present report suggests that when lymphatic metastasis has been found while operating on the patient with esophageal and cardiac cancer,the portion for resection of the esophagus be enlarged to prevent the resected margins from having residual cancer.

关 键 词：癌检 残留癌 食管肿瘤 贲门肿瘤 

分 类 号：R735.1[医药卫生—肿瘤]