腔内型食管肿瘤38例临床分析

Clinical analysis of intraluminal esophageal neoplasm-a report of 38 cases

目的探讨腔内型食管肿瘤的临床特点及诊治方法。方法回顾分析38例腔内型食管肿瘤患者手术治疗的临床资料。结果腔内型食管癌18例,食管癌肉瘤5例,食管平滑肌瘤12例,食管平滑肌肉瘤2例,食管乳头状瘤癌变1例。恶性肿瘤侵及食管外膜5例,局部淋巴结转移者1例;良性肿瘤12例。手术切除率100%。1、3、5年生存率分别为85%、78%、65%。结论腔内型食管肿瘤的表现及病变种类较多;手术切除是其首选治疗手段。

Objective To explore the clinical characteristics, diagnosis and treatment of intraluminal esophageal neoplasm. Method A retrospective analysis of 38 patients with intraluminal esophageal neoplasm underwent surgical resection was performed. Result In all patients, there were 18 cases of Jntraluminal esophageal carcinoma, 5 cases of carcinosarcoma, 12 cases of leiomyorna, 2 cases of leiomyosarcorna, 1 case of papilloma cancerization. In 5 patients, malignant tumor invaded the outer membrane of esophagus; local lymph nodes metastasis occurred in 1 case; 12 cases were benign tumors. Surgical respectable rate was 100%. 1, 3, 5 years survival rates were 85%, 78%, 65%, respectively. Conclusion The clinical appearance and the category of the intraluminal esophageal neoplasm are diverse. Surgical resection is priority in all the treatments.