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MRI在食管癌中的应用

The Role of MRI in Examination of Esophageal Carcinoma

  • 摘要: 51例食管癌作了MRI检查。对其中手术的14例进行了MRI与手术及病理的对照观察。MRI分辨率高并能够多方向扫描,因而能显示肿瘤的大小、范围,有无外侵及有无淋巴结转移。对估计癌瘤能否手术切除有重要作用。肿瘤侵及气管支气管,侵及主动脉;或侵及心包为不能切除的指征。本组诊断气道受侵的符合率及主动脉受侵的符合率均为92.8%。因此食管癌术前行MRI检查十分重要,可减少不必要的开胸探查。15例食管癌手术后作了MRI随诊,其中14例有阳性发现,最多见的为纵隔淋巴结转移,其次为吻合口区复发,残段食管癌、肋骨及肺转移。术后MRI随诊可及早发现复发及转移,以使病人能得到及时的治疗。

     

    Abstract: Fifty one cases of esophageal carcinoma were examined by MRI.In 14 of these patients,the MRI findings were correlated with findings at surgery and pathology,MRI was found to be highly accurate in predicting tumor size,its extent and assessing invasion of adjacent mediastinal tissues and lymph nodes meatastases·Also MRI offers valuable information as to the operability of the tumor,and play an important role in the planning of treatment,tumors with evidence of tracheobronchial,aortic or pericardial invasion were considered to be unresectale. The rate of correspondente of tracheobronchial invasion was 92.8%,the rate of correspondence of aortic invasion was 92.8% also.MRI is an accurate method for assessing the spread of esophageal carcinoma·Its use can prevent unnecessary surgery in patients with inoperable tumors.The MRI findings of 15 patients with esophageal carcinoma following surgical treatment were reviewed.Among them 14 cases were found with intrathoracic recurrences or metastases·The MRI findings included mediastinal adenopathy,recurrence of esophago-gastric anastomoses,recurrence of esophageal stump and metastases of rib and lung. In our experience.MRI also had been used in follow up examination after surgical resection of esophageal carcinoma.

     

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