锁骨上无瘤淋巴结对食管癌手术治疗的影响

Effect of non-tumor supraclavicular lymph nodes on surgical therapy of esophageal carcinoma

目的 探讨锁骨上无瘤淋巴结对食管癌患者手术治疗及预后的影响。方法 分别对 4 5例锁骨上有无瘤淋巴结和 73例锁骨上无肿大淋巴结的食管癌患者进行手术治疗 ,对两组术后病理情况进行对比分析。结果 两组患者肿瘤浸润深度、淋巴结阳性率以及淋巴转移情况相比均有显著性差异 (P均 <0 .0 1)。结论 对于锁骨上有无瘤淋巴结的患者 ,应加强淋巴结尤其是上段淋巴结的清扫 ,且不论术后病理情况如何 ,均应放疗 ,区域包括锁骨上淋巴结区。

Objective It is to investigate the effect of non-tumor supraclavicular lymph nodes on surgical therapy and prognosis of esophageal carcinoma. Methods Forty-five patients with non-tumor supraclavicular lymph nodes and seventy-three patients without intumescent supraclavicular lymph nodes received surgical therapy. Histopathologic analysis was performed postoperatively. Results The infiltration degree, the positive rate of lymph nodes and lymph nodes metastasis in two groups had significant differences (P all <0.01). Conclusion Lymph nodes, especially in superior segment, in patients with non-tumor supraclavicular lymph nodes should be scavenged. And whatever histopathologic result was, the patients should be deal with radiotherapy, the area included supraclavicular lymph nodes.