摘要
[目的]研究胸段食管癌淋巴结转移规律。[方法]对胸段食管鳞癌切除手术标本150例的淋巴结进行分组制片、光镜观察。[结果]150例病人有淋巴结转移者81例 ,转移率54 0 % ,病变长度≤5cm者 ,转移率为32 3% ,>5cm者为70 6%。淋巴结转移以局部转移多见 ,其次为连续性及跳跃转移 ,淋巴结转移呈向上、向下及双向转移的多方向性为又一特点。[结论]根据淋巴结的转移特性重视术中淋巴结的清扫及术后给以有目的综合治疗 ,可望提高中晚期食管癌的治疗效果。
To study metastasis of lymph node of thoracic esophageal cancerThe lymph nodes from 150 cases of squamous cell esophageal carcinoma were divided into groups and observed with optical microscopeOf 105 cases,81 cases had metastasis and the metastasis rate was 54%The metastasis rates were 323%,706% for <5cm,and >5cm tumor respectively(P<005)The common ways of metastasis were local and /or extensive,and other characteristic was jumping or multidirection metastasis[Conclusion]It is important to dissect lymph nodes and treat with comprehensive therapy after operation in order to improve curative effect
关键词
食管肿瘤
淋巴结转移
鳞状细胞癌
病例报告
esophageal neoplasms
lymph node metastasis
squamous cell carcinoma
