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食管癌手术切缘癌残留的病理分型及其临床意义 被引量:3

SIGNIFICANCE OF PATHOLOGIC TYPING OF THE EDGE-RESI-DUAL CANCER LESI0NS IN RBSECTED SPECIMENS 0F ES0PHA CEAL CARCINOMA
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摘要 从1000例食管癌手术切除标本中发现切缘癌残留92例,将92例切缘癌按病理形态分为原位癌、粘膜内癌、粘膜下癌、深部浸润癌和淋巴管癌栓五个类型。结果表明:原位癌和粘膜内癌约占一半左右,其区域淋巴结转移率与深部浸润癌有显著的差异(P<0.05)。作者认为,应把术中切缘快速冰冻切片作为常规检查。切缘癌的病理分型对术后治疗及预后估计有一定帮助。 Among l0O0 resected specimens of esophageal carcinomas examined resdual cancer lesions were found at the resection margin 92 cases.We divided these edge-residual lesion into 5 types:caicinoma in situ,intramucosa carcinoma submucosa carcinomdeeply infiltrated carcinoma and lymphatic cancer embolus The results showed that carcincom-ma in situ and intramucosa cascinoma, which accouted apprroximately for one half of thetotal cases,less often metastasized to the region lymph nodes than did the deeply infiltratedtypes(P<0.05). It is suggested that frozen sections at the edge of the resected specimensof esophageal carcinoma should be made routinely for improving treatment and estimating pr-ognosis.
出处 《癌症》 SCIE CAS CSCD 北大核心 1994年第1期35-37,共3页 Chinese Journal of Cancer
关键词 食管肿瘤 切缘癌 病理 分型 esophagus neoplasms cut-edge carcinoma pathologic typing
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