食管粘膜下癌淋巴结转移12例
12 Ccses of Submucosal Carcinoma of Esophagus with Lymphatic Metastasis
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摘要: 探讨食管粘膜下癌发生淋巴结转移的有关因素及特点,制定治疗早期食管癌的最佳方案.方法:手术切除食管粘膜下癌52例,常规清扫区域淋巴结,分组病理检查,术后进行长期随诊.结果:本组食管粘膜下癌淋巴结转移率为23.1%(12/52),发生淋巴结转移主要与肿瘤的分化程度有关,分化越差,转移率越高,其次与肿瘤的大小、病理形态类型等因素有关.跳跃式转移发生率高,转移淋巴结大部分≤1cm,可能是食管粘膜下癌发生淋巴结转移的特点.结论:对早期食管癌应行食管次全切除术,并常规清扫区域淋巴结.Abstract: Objective :To study characteristics and factors about the submucosal carcinoma of esophagus with lymphatic metastasis and formulate the best treatment for the patients with the early esophageal carcinoma. Methods :52 cases with submucosal carcinoma of esophagus were trea-ted by surgical resection and routine clearance of regional lymph nodes.The specimens were examinde by pathology respectively.All of the pat-ients were follow-up for a long time. Result :The incidence of lymphatic metastasis was 23.l%(12/52).The lymphatic metastasis was princ-ipally related to the differential degree of tumor.The lower the differential degree was,the higher the incidence of lymphatic metastasis wo-uld be.Secondly,it was concerned with the size and pathomorphological classification of tumor.The characteristics of lymphatic metastasis wo-uld be the jumping transfer and the size of the invaded lymph nodes ≤1cm. Conclusion :The subtotal esophagectomy and the clearance of regional lymph nodes was advised for early carcinoma of esophagus.
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