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胸段食管癌淋巴结转移特点及意义
引用本文:章国芬,蒋锡初,常建华,贺蓓娃,胡玉林.胸段食管癌淋巴结转移特点及意义[J].肿瘤基础与临床,2003,16(1):25-26.
作者姓名:章国芬  蒋锡初  常建华  贺蓓娃  胡玉林
作者单位:无锡市第四人民医院苏州医学院附属第四医院,江苏,无锡,214062
摘    要:目的 了解胸段食管癌淋巴结转移的特点及对预后的影响,探讨食管癌术后合理的放射治疗范围。方法 对97例单纯手术切除的胸段食管癌患者的临床资料进行回顾性的分析。结果 淋巴结转移率37.1%,转移度14.4%,影响淋巴结转移的因素为肿瘤分化程度。肿瘤浸润的深度和长度则影响不大。有淋巴结转移患者的3年生存率为36%,(13/36)低于无淋巴结转移患者的3年生存率54%(33/61)。结论 食管癌术后应该辅助综合治疗。

关 键 词:食管癌  淋巴结转移  预后
文章编号:1003-1464(2003)01-0025-02
修稿时间:2002年5月27日

Characteristics of Lymph Node Metastasis of Thoracic Esophageal Carcinoma and Its Clinical Significance
ZHANG Guo - fen,JIANG Xi - chu,CHANG Jian - hua,et al.Characteristics of Lymph Node Metastasis of Thoracic Esophageal Carcinoma and Its Clinical Significance[J].journal of basic and clinical oncology,2003,16(1):25-26.
Authors:ZHANG Guo - fen  JIANG Xi - chu  CHANG Jian - hua  
Abstract:Objective To study the characteristics of lymph node metastases of thoracic esophageal carcinoma and its influence on patient's prognosis and to find postoperative combined modality therapy for esophageal cancer. Methods To analyze retrospectively the clinical meterials of 97 patients who had undergone resection of thoracic esophageal carcinoma. Results Lymph node metastases was found in 36 of the 97 treated patients (37.1%) .In 561 lymph nodes dissected,metastases existed in 400(14.4% ),tumor differentiation was the factors influencing lymph node metastases, but the length of tumor and depth of tumor invasion were not. the 3 - year surivival rate of the patients with lymph node metastases was 36% , much lower than that of patients with no lymph node metastases (54% ). Conclusions Postoperative combined modality therapy for esophageal cancer is a valuable procedure
Keywords:esophageal cancer  lymphatic metastases  prognosis  
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