食管基底细胞样鳞癌的治疗

The Treatment of Basoloid Squamous Cell Carcinoma of the Esophagus

目的探讨食管基底细胞样鳞癌的临床病理特征、诊断及治疗方法的选择。方法对手术治疗的食管基底细胞样鳞癌22例的临床资料进行回顾性分析。结果食管基底细胞样鳞癌发病年龄较鳞癌大,临床表现和影响学特征与鳞癌相似; 治疗首选手术,结合化疗。本组手术切除率100%,未发生手术并发症。1年、2年、3年生存率为45.45%、27.27%、O%。结论食管基底细胞样鳞癌是一种少见的恶性肿瘤,恶性程度高、进展快、转移早,确诊有赖于食管镜活检或手术标本病理检查;根治手术结合化疗是其首选治疗方法。

Objective To study the basoloid squamous cell carcinoma of the esophagus on the characteristics of clinicopatholo-gy, diagnosis and treatment. Methods The clinicopathologic features of 22 cases of basoloid squamous cell carcinomas of the esophagus were studied. Results The survival rate after operation of 1 , 2 , 3years were 45.45 % , 27. 27 % and 0 % respectively. Conclusion The basoloid squamous cell carcinoma of the esophagus is a high - malignant carcinoma with poor prognosis. Chemotherapy combined with operation is the primary treatment for it.