贲门癌切除术后转移死亡100例分析

ANALYSIS OF 100 DEAD CASES OF CARDIAC CARCINOMA BY METASTASIS AFTER RESECTION

目的探讨贲门癌切除术后综合治疗的实用性。方法对100例应用B超、X线、CT和纤维胃镜等检查方法，明确肿瘤主要转移部位的贲门癌切除术后随诊患者进行分析。结果术后肿瘤远处转移和局部复发的主要部位依次为腹腔种植及腹腔淋巴转移占57％，肝转移41％．肺转移16％，锁骨上淋巴结转移14％，吻合口复发7％，脑转移3％，骨转移2％，胸膜、脊髓和全身广泛转移各占1％。结论术中或术后早期腹腔内化疗以及术后全身辅助化疗对提高晚期贲门癌生存率有实用性和必要性。

AIM To study the advantages of complex treatment after resection of cardiac carcinoma.METHODS 100 cases of cardiac carcimoma were followed - up after resection; their metastatic or recurrent regions of the tumor were diagnosed by ultrasonic, X- ray, CT and gastroscopy.RESULTS The incidence of distant metastasic and local recurrence was 57% of intra - abdominal implentation the celiac lymphaticnodes, 41% of the liver, 16% of the lung, 14% of the supraclavicular lymphatic nodes, 7% of the anastomatic stoma, 3% of the brain, 2% of the bone and 1% of the pleura. the spinal coul and the general tissues separetly.CONCLUSION The early intra - cbdominal chemotherapy intraoperative or postoperative and the postoperative adjuvant chemotherapy are the necessity to improve the survial rate with the advanced eardiac carcinoma.