探讨贲门癌的淋巴结转移规律

Discussion about the general rule of metastasis on lymph nodes in cardia carcinoma

目的：探讨贲门癌淋巴结转移的一般规律。方法：对手术切除的33例贲门癌临床病理资料进行回顾性分析,探讨贲门癌的淋巴结转移的规律。结果：共计清扫482枚淋巴结,127枚淋巴结转移。其中11例没有淋巴结转移;8例中每例仅只有1枚淋巴结转移,其中1例转移至食管旁,1例转移至胃左动脉旁,1例转移至贲门旁,1例转移至胃大弯,另4例转移至胃小弯;其余14例有2~20枚淋巴结转移,其中12例均转移至胃大、小弯、贲门旁、胃左动脉旁和下段食管旁。结论：贲门癌的淋巴结转移主要向下转移,胃大小弯、贲门旁和胃左动脉旁转移最常见。

Objective： To explore the general rule of metastasis on lymph nodes of gastric cardia carcinoma.Methods： The clinical pathological data of 33 cases who underwent gastric carcinoma resection were analyzed retrospectively.To explore the general rule of metastasis on lymph nodes in cardia carcinoma.Results： 482 lymph nodes were dissected and in which there were 127 lymph nodes metastasis.Of the 33cases,there was no positive lymph node in 11 cases.Only one positive lymph node in every case of the 9 cases was found;one metastasis to paraesophagus;one to left gastric artery;one to paracadiac;one to greater curvature;the other 4 cases to lesser curvature.There were 2-20 positive lymph nodes in every case in the other 14;in the 12 cases,the positive lymph nodes were found only in greater,lesser curvature,left gastric artery,paracadiac and paraesophagus.Conclusion： Lymph node were mainly metastased to abdomen-mainly in greater and lesser curvature,left gastric artery and paracadiac.