食管非鳞状细胞恶性肿瘤107例病理资料分析

Analysis of 107 esophageal non squamous cell carcinoma patients′pathological material

目的总结食管非鳞状细胞恶性肿瘤的病理特点。方法回顾性分析107例食管非鳞状细胞恶性肿瘤的病理资料。结果联合应用术后病理和免疫组化检查确诊为食管腺癌56例(单纯腺癌42,腺棘癌14例),小细胞未分化癌38例,间叶组织肉瘤6例(恶性间质瘤4例,平滑肌肉瘤2例),恶性黑色素瘤3例,癌肉瘤2例,食管不典型类癌2例。各类型临床、病理表现均无特异性。结论食管非鳞状细胞恶性肿瘤病理特点不典型。应当根据术后病理、特殊染色和免疫组化检查结果综合考虑,以确定组织类型,有条件的行电镜检查确诊。

Objective To summarize the pathological features of esophageal non squamous cell carcinoma. Methods 107 malignant esophageal non squamous cell carcinoma patients＇pathological material were retrospective analyzied. Results Postoperative pathological and immunohistochemical method were used to indentify the pathological type. The were 56 esophageal adenocarcinoma （42 simple adenocarcinoma, 14 gland olume carcinoma） 38 undifferentiated small carcinomas, 6 mesenchymal sarcomas （4 malignant mesenchymal carcinoma, 2 liomyoma sarcomas） , 3 malignant melanin carcinoma , 2 , 2 esophageal untypical carcinoid. Conclusion Malignant esophageal non squamous cell earcinoma＇ pathological characteristic is not typical. The postoperative pathology, i mmtmohistochemistry, special staining detection results, must be considered to determine the tissue types.