实用临床医药杂志2012，Vol.16Issue(22)：73-75,3.
胸段食管癌术后淋巴结转移情况与术后放疗疗效分析
Efficacy analysis of lymph node metastasis and postoperative radiotherapy after thoracic esophageal cancer surgery
孙长江 1张西志 1汪步海 1贾青青1
作者信息
- 1. 江苏省苏北人民医院肿瘤科,江苏扬州,225000
- 折叠
摘要
Abstract
Objective To investigate the efficacy of lymph node metastasis and postoperative radiotherapy after thoracic esophageal cancer surgery. Methods Sixty-five thoracic esophageal cancer patients were included in the study, including chest on paragraph (14 cases), chest paragraph (27 cases) and chest lower segment (24 cases). Lymph node metastasis occurred in 38 cases with no lymph node metastasis in 27 cases. The sizes of lesions include: 35 cases <3 cm and 30 cases ≥3 cm. All patients had esophageal cancer radical surgery with postoperative radiotherapy. A follow-up was conducted for 3 three years to observe the characteristics of 65 patients in treatment outcome, thoracic lymph node metastases and postoperative radiotherapy. The relationship between the lesion sizes with or without lymph node metastasis, and one-year and three-year survival rates of patients were analyzed. Results Sixty-five patients received esophageal cancer surgery combined with postoperative radiotherapy. The tumor in 60 cases (92.31%) was controlled with varying degrees. The results of the 3-year follow-up revealed that 1-year survival rate was 76. 92% (50/65), and the 3-year survival rate was 58. 46% (38/65). Upper thoracic lymph node metastases were more common than cervical lymph node metastasis, and the middle thoracic and lower thoracic esophageal cancer were more common in the abdominal lymph nodes and mediastinal lymph nodes. Postoperative 1-year survival and 3-year survival rate were higher in esophageal cancer patients with higher section and the lower thoracic esophageal cancer in the chest . The postoperative 1 - year survival and 3-year rates were higher in patients with lesions < 3 cm and without lymph node metastasis than in patients with lesions 2≥3 cm. Conclusion Lymph node metastasis is commonly seen in patients after thoracic esophageal cancer surgery. The combined radiotherapy can improve the survival rate, prognosis and life quality of patients. Thus, it is an important treatment method.关键词
胸段食管癌/淋巴结转移/放疗/预后Key words
thoracic esophageal cancer/lymph node metastasis/radiotherapy/prognosis分类
医药卫生引用本文复制引用
孙长江,张西志,汪步海,贾青青..胸段食管癌术后淋巴结转移情况与术后放疗疗效分析[J].实用临床医药杂志,2012,16(22):73-75,3.
