食管癌同期并发食管胃贲门双原发癌的诊断和治疗

Diagnosis and treatment of the esophageal carcinoma with other primary cancer in the esophagus and stomach——report of 22 cases

本文报告1984年4月至1995年11月手术治疗食管癌或贲门癌1259例,经病理证实食管癌同期并发食管胃贲门原发癌22例,发生率占1.75％(22/1259)。癌分布以食管--食管5例,食管--贲门9例,食管--胃8例。本文结合文献对食管胃贲门双原发癌的发病率,诊断标准,诊断方法,病因学及治疗进行了讨论,作者认为,由于术前漏诊率高,应提高对该病的警惕,术中常规探查食管胃,并尽可能一次手术切除。

From Apr 1984 to Nov. 1995,1259 patients with esophageal or cardiac carcinoma underwent operation. 22 of 1259 cases had primary carcinoma in cardia or stomach . The incidence was 1. 75%(22/1259). The distribution of the other primary cancer was 5 cases in esophgus,9 cases in esophgas and 8 cases in esophages-stomach junction . The incidence,diagnotic . criteria and management were discussed. The authors think that both X-ray and esophagogastroscope are very important to such patients, morever,the esophagus,cardia and stomach should be explored during the operation. It is also suggested that patients without any evidence of distant metastasis and contraindications to operation should be operated as soon as possible.