论文部分内容阅读
目的比较分析食管腺癌与贲门癌的临床和病理特点,探讨两者的异同点。方法回顾、对比分析本院4年间收治的48例原发性食管腺癌,322例贲门癌的年龄和性别分布、主要症状、病理类型及分期、淋巴结转移情况、早期诊断率和手术切除率并进行统计学分析。结果食管腺癌、贲门癌多好发于老年男性。除食管腺癌的反酸及烧心症状的发生率(52.1%)高于贲门(24.2%)外,其他症状发生率两者相近。食管腺癌、贲门癌早期诊断率分别是8.3%和16.1%。食管腺癌、贲门癌手术切除率分别为81.3%和77%,根治性切除率为70.8%和68.3%。结论食管腺癌与贲门癌在一般临床特征上相似,但淋巴结播散类型不同。食管腺癌与贲门癌早期诊断率低,但手术切除率仍然较高,对其手术治疗应持积极态度。
Objective To comparatively analyze the clinical and pathological features of esophageal adenocarcinoma and cardia carcinoma and to explore the similarities and differences between the two. Methods Retrospective analysis of 48 cases of primary esophageal adenocarcinoma, 322 cases of cardia cancer admitted to our hospital during 4 years comparative analysis of age and sex distribution, main symptoms, pathological types and stages, lymph node metastasis, early diagnosis rate and surgical resection rate Statistical analysis. Results esophageal adenocarcinoma, cardia cancer occur in older men. In addition to esophageal adenocarcinoma of the acid reflux and heartburn symptoms (52.1%) higher than the cardia (24.2%), the incidence of other symptoms similar to both. The early diagnosis rates of esophageal adenocarcinoma and cardia carcinoma were 8.3% and 16.1% respectively. The surgical resection rates of esophageal adenocarcinoma and cardia carcinoma were 81.3% and 77% respectively, and the radical resection rates were 70.8% and 68.3%. Conclusions Esophageal adenocarcinoma and gastric cardia carcinoma are similar in general clinical features, but the types of disseminated lymph nodes are different. Early diagnosis of esophageal adenocarcinoma and cardia cancer is low, but the surgical resection rate is still high, the surgical treatment should hold a positive attitude.