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目的了解原发性食管腺鳞癌的临床特点及临床生物学特性,探讨合理的综合性治疗措施。方法对38例手术切除经病理确诊的原发性食管腺鳞癌患者的临床病理资料进行回顾性分析。结果 38例食管腺鳞癌患者的临床症状、影像学表现和内窥镜下所见与食管鳞癌相似,病例发生淋巴结转移率为55.3%(21/38),1、3、5年生存率分别为77.7%、34.4%、20%。结论食管腺鳞癌和食管鳞癌相比恶性程度高,病变发展快,预后差,宜采用以手术为主的综合治疗,合理的综合治疗有助于提高远期治疗效果。
Objective To understand the clinical features and clinical biological characteristics of primary esophageal adenosquamous carcinoma and to explore reasonable and comprehensive treatment measures. Methods The clinical data of 38 patients with pathologically diagnosed primary esophageal adenosquamous carcinoma were analyzed retrospectively. Results The clinical manifestations, imaging findings and endoscopic findings of 38 patients with esophageal adenosquamous carcinoma were similar to those of esophageal squamous cell carcinoma. The incidence of lymph node metastasis was 55.3% (21/38), 1, 3, 5-year survival rate Respectively 77.7%, 34.4%, 20%. Conclusion esophageal adenosquamous carcinoma and esophageal squamous cell carcinoma compared to the high degree of malignancy, rapid development of the disease, the prognosis is poor, should be used to surgery-based comprehensive treatment, a reasonable comprehensive treatment will help improve long-term treatment.