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自65年3月至80年4月林县人民医院胸外科手术治疗21—30岁间的青年人食管贲门癌40例,占同期外科治疗组之1.2%。病变长度5—7cm 12例,大于7cm 14例。肿瘤切除率92%(37/40)。手术满5年以上者20例中5例生存;(25%)。同20例中有9例曾行术前放射,4例生存5年以上,而11例单纯手术者中,仅一例生存5年以上。作者认为:(1)高发区对有食管症状的青年人应提高警惕;(2)青年人食管贲门癌的预后不坏;(3)术前放射治疗很重要。
From March 65 to April 2007, 40 cases of esophageal and cardiac cancer were treated by thoracic surgery in the People’s Hospital of Linxian County between the ages of 21 and 30, accounting for 1.2% of the surgical treatment group at the same time. Length of lesions 5-7 cm in 12 cases, more than 7cm 14 cases. The tumor resection rate was 92% (37/40). Five of the 20 patients who had surgery for more than 5 years survived; (25%). In the same 20 cases, 9 cases had preoperative radiation, and 4 cases survived for more than 5 years. Among the 11 cases, only 1 case survived for more than 5 years. The authors believe that: (1) Young people with esophageal symptoms in high-risk areas should be vigilant; (2) The prognosis of esophageal and cardiac cancer in young people is not bad; (3) Preoperative radiation therapy is very important.