上消化道及肺多原发癌128例临床分析

CLINICAL ANALYSIS OF 128 CASES WITH MULTIPLE PRIMARY CARCINOMA OF UPPER ALIMENTARY TRACT AND LUNG

我科共收治上消化道和肺多原发癌１２８例，占同期我科收治上消化道及肺部恶性肿瘤患者的１．４％。所有病例均经病理证实。手术治疗８４例，１年生存率为１００．０％（８４／８４），３年生存率为３０．０％（２１／７０），５年生存率为１９．６％（１０／５１）；非手术治疗４４例，其中３２例在１年内死亡。说明对上消化道及肺多原发癌应采取积极的治疗，尽可能争取手术切除。

One hundered and twenty-eight cases of multiple primary carcinoma in upper alimentary tract and lung among 9 334 patients with cancer of esophagus, gastric cardia or lung were admitted in our department. The multiple primary carcinoma patients accounted for 1.4% of all the cases in this series. All the cases were confirmed pathologically.Among them, 84 cases were treated operatively and for these patients, one year surrival rate was 100.0% (84/84),3 years survival rate was 30.3% (21/70) and 5 years survival rate was19.6% (10/50). The other 44 cases were treated by no oprative methods and 32 cases of them died within one year. Thus, the results showed that multiple primary carcinoma of upper alimentary tract and lung should be treated aggressively and surgical operation be the first choice.