青年人食管癌的放疗与预后

Radiotherapy and prognosis of young patients with esophageal carcinoma

目的 对1977年3月～1989午12月我科收治的32例30岁以下青年人食管癌进行回顾性分析。方法 分析了临床资料,青年人食管癌占同期医治食管癌的0.78％(32/4120),放疗后1、3、5年生存率分别为40.6％、19％和6.3％。结果 发现青年人食管癌的临床特点为病史短、发展快、生存期短和转移早。结论 根据该病的特点,作者认为提高生存率的关键是“三早”和行手术切除及放、化疗的综合治疗。对较晚期者,放射治疗仍不失为一积极疗法,可明显改善病人的生存质量,减轻痛苦及延长生命。

Objective To analyze retrospectively 32 young patients under 30 years old with esophageal carcinoma who were treated in our department from March 1977 to December 1989. Methods Clinical data was analyzed and found that young patients with esophageal carcinoma were 0. 78% (32/4120) of all treated patients with same disease in the same period. After radiation, survival rate of 1,3 and 5 years were 40. 6% > 19% and 6. 3% respectively. Results It had been found that clinical features of young patients with esophageal carcinoma were short course, rapid development, short survival time and early metastasis. Conclusion According to the characteristic of this disease, the key of raising survival rate is three early (find, diagnosis and treatment) including early operation and followed with radiation and chemotherapy.