摘要
目的探讨青年食管癌的外科治疗效果及影响其预后的因素。方法回顾性分析36例40岁以下青年食管癌的临床资料。全组患者均经手术治疗,其中经左胸30例,经右胸6例。结果总的3、5年生存率分别为32.1%和23.0%。单因素分析显示肿瘤T分期、淋巴结转移状况、病变长度、手术性质、TNM分期为影响预后的主要因素;而多因素分析显示肿瘤T分期、淋巴结转移是影响预后最重要的独立因素。结论青年食管癌临床分期较晚,根治性手术切除率较低,应加强早诊治意识;肿瘤T分期、淋巴结转移是影响预后的最重要因素。
Objective To assess the treatment and prognosis of patients under 40 years of age with esophageal carcinoma. Methods The data of 36 patients were analyzed retrospectively. Curative resection was performed on all patients, including through-Left-thorax resection （30） and through-right-thorax resection （6）. Results The overall 3- and 5-year survival rates were 32. 1% and 23.0% of the whole group respectively. T stage, lymph node metastasis, length of the tumors, operative types（ radical resection or non-radical resection） and TNM stage were the main factors that affected the prognosis. Conclusion In young patients with esophageal carcinoma, the clinical stage is later, and the radical resection rate is lower. Early detection and treatment are crucial to improving the survival rate. Lymph node metastasis and T stage were the independent prognostic factors.
出处
《肿瘤基础与临床》
2009年第5期418-420,共3页
journal of basic and clinical oncology
关键词
青年
食管肿瘤
外科手术
预后
young
esophageal carcinoma
surgical procedures
prognosis
