摘要
我院自1988年1月至1990年12月间行胸段食管癌的根治性切除,两侧颈部淋巴结廓清20例。7例颈淋巴结转移,占全组35%。颈深淋巴结(102组)和锁骨上淋巴结(104组)转移多见,均占55.6%。颈部淋巴结转移与肿瘤发生部位和分化程度有关,食管中上段部占85.6%,低分化者占55.6%。本组淋巴结跳跃转移2例。术前颈部触不到淋巴结不能除外颈淋巴结转移的存在。本组20例中颈、胸、腹淋巴转移率分别为35%、55%和30%。作者讨论了颈淋巴结廓清的范围,术中操作的要点及其术后处理。
0 cases of carcinoma of thoracic
esophagus which received radical resection were
reported,accountingfor l6.1%of all caseas of esophageal carcinoma
during the same period of January l988 to December 1990in our
department.The metastasis of bilateraly dissected cervical lymph
nodes were discussed. Out of 20 cases,7 cases (35%)had cervical
lymphatic metastasis.The common sites of metastasis were deep
cervical(group 102)and supraclavicular lymph nodes (group 104),each
accounted 55.6%respectively. It ap-peared that the location of the
lesion and differenciation of the cancer were associated with the
metastasis。Most metastasis (85.6%)occured in the upper or middle
esophageal cancer, and 55.6%were pooly differentiated. There were 2
cases demonstrating skipping metastasis.The negtive flnding in
preoporative paldationof the cervical lymph nodes did not rule out
the posibility of metastasis.In the 20 cases,the metastasis rateof
cervical, thoracic and abdominal lymph nodes were 35%,55%and
30%respectively。The extent andmethod of dissecting cervical lymph
nodes,and postoperative treatment were discussed。
出处
《中华肿瘤防治杂志》
CAS
1994年第4期277-279,共3页
Chinese Journal of Cancer Prevention and Treatment
关键词
食管癌
淋巴结廓清
esophagus
carcinoma lymphnode dissection