食管癌742例的内镜检查及病理分析

Endoscopic and Pathological Analysis of Carcinoma of Esophagus

目的探讨食管癌近年来的发病情况、病理特点及诊断方法。方法回顾性分析近5年来742例食管癌的内窥镜检查(简称内镜)及病理资料。结果742例食管癌中,男545例,女197例,男女之比为2.77∶1。上段癌98例,中段癌478例,下段癌166例。病理类型:鳞癌725例,腺癌15例,小细胞癌2例。结论近年来食管癌的发病人数增加,男性发病比女性多。病理仍以鳞癌为主。加强对高危人群的普查和内镜检查,可提高对食管癌的早期诊断。

Objective To summarize epidemiological feature, pathological characteristics and diagnosis with 742 cases carcinoma of esophagus. Methods Retrospectively analyse endoscopic and pathological interrelated information of 742 cases carcinoma of esophagus within past 5 years. Resuits Numerical statement of 742 cases carcinoma of esophagus in this study , the numbers of male patients and female patients are respectively 545 and 197 （the proportion of male with female is 2.77：1 ）. The case numbers of the carcinoma at the upper part, the middle part, the lower part of esophagus are respectively 98,478,166. The case numbers of squamous cell carcinoma, adenocarcinoma, small cell carcinoma are respectively 725,15,2. Conclusion In recent years, the number of the patients that suffer carcinoma of esophagus is increasing, a large proportion of the patients are male and the diseased age of the patients is older. The squamous cell carcinoma is absolutely predominant in pathology. It can improve the early diagnosis of the carcinoma of esophagus that enhancing general survey and esophagoscope examining in high risk group.