食管小细胞癌的临床X线分析

X-ray analysis of esophagus small cell carcinoma

目的探讨食管小细胞癌的临床X线特点。方法对30例有完整的临床、X线检查资料并经手术及病理证实的食管小细胞癌进行分析。结果本组30例,男27例,女3例,年龄36～66岁,平均55岁。X线表现见肿瘤位于食管中段23例,下段7例,属溃疡型13例,蕈伞型11例,髓质型4例,缩窄型2例。病理见11例癌组织侵及肌层,19例侵及外膜层。随访20例,16例于1年内死亡。结论食管小细胞癌好发于食管中下段,其临床表现和X线所见与其它类型的食管癌相似,具有病期短、生长快、恶性度高、易转移等特征。早期确诊,采取手术、系统的化疗及放疗,可望获得最佳疗效。

Objective To discuss the X-ray features of esophagus small cell carcinoma.Methods30 cases with fully clinical and X-ray examination data,which were confirmed byoperation and pathology,were studied retrospectively.ResultsOf 30 patients,27 were maleand 3 were female.The age ranged from 36～66 years old.The average age was 55. In X-ray plain film,the lesions of 23 cases located in the middlepiece of esophagus,and 7 in the lowersegment of esophagus.The cancer cell of 11 cases erosioed muscular layer of esophagus,and19 erosioed adventitia of esophagus.In the following-up of 20 patients, 16 died in 1year.ConclusionEsophagus small cell carcinoma usullary occur in the middlepiece or lowersegment of esophagus, of which clinical manifestations and X-ray signs are similar to the othertypes of esophagus carcinoma. Esophagus small cell carcinoma is of high malignant, shortcourse of disease, growth quickly and easy to transfer. Early diagnosis, performing operation,systematic chemical therapy and radiation therapy are helpful to good prognosis.