食管腺癌的放射治疗(附20例报告)

Radiotherapy in the treatment of adenocarcinoma of oesophagus(20 cases report).

目的 回顾分析原发性食管腺癌的临床特征及影响预后因素。方法 1984年 9月～ 1997年11月共收治食管腺癌 2 0例 ,就诊时 45 %患者出现远处淋巴结转移 ,15 %出现远处器官转移 ,单纯放疗 16例 ,采用60 Co外照射 ,DT6 0～ 75Gy ,放疗 +化疗 2例 ,手术 +放疗 2例。结果 治疗后的 1、2、3年生存率分别为 5 0 %、2 0 %、0。结论 食管腺癌恶性程度高 ,进展快 ,易血行转移 ,预后差。

Objective Retrospectively analyse the clinical charicteristics and the factors which influence the prognosis of the primary oesophagus adinocarcinoma.Methods From september 1984 to November 1997,20 patients with primary oesophagus adinocarcinoma were hospitalized in our hospital. In the time of diagnoses 45% had distant lymphanode metastasis; 15% had distant organ metastasis, 16 patients were treated with radiotherapy alone; 2 underwent radiotherapy plus chemotherapy the other 2 patients were given operation suited by post-operative radiotherapy.Results 1?2?3 year suvival rates were 50%?20% and 0% respectively.Conclusion The malignance of adinocarcinoma of oesophagus is very high,its development is very fast, hematological metastasis occurs quite often and the prognosis is very bad.