35岁以下青年人食管癌预后因素浅析

Prognostic Factors in Young Patients with Carcinoma of Esophagus

本科自1973年1月～1989年1月共收治食管癌1241例,其中35岁以下(包括35岁)12例,手术切除10例(83.33％),探查1例(8.33％),未手术1例(8.33％).对青年人食管癌患者,消瘦的严重程度可视为判断预后的指标之一,但影响预后的最主要因素是淋巴结转移和肿瘤侵犯食管壁的深度.病变的部位、范围、组织学类型、术前DDP+PYM化疗及术式对预后无明显影响.

Between January 1973 and January 1989,1241 patients with carcinoma of esophagus weretreated in the Chest Department of Tianjin Cancer Hospital. T welve cases with age less than 35 was analysed. Of them 10 lesions were resected (83. 33%),1 was unresectable(8. 33%) and 1 was not treated (8. 33%). For patients in this series the degree of weight loss was an important factor of prognosis. However .factors that dominated prognosis were the lymphatic metastasis status and the depth of wall infiltration. Other factors such as the site and extent of tumor, pathological type, preoperative chemotherapy (DDP + PYM) and the'operative procedure had not much effect on long term survival.