肿瘤预防与治疗2017，Vol.30Issue(3)：219-225,7.DOI:10.3969/j.issn.1674-0904.2017.03.013
胸段食管鳞癌颈淋巴转移诊治进展
Research Advances in the Diagnosis and Treatment of the Cervical Lymph Node Metastasis of Esophageal Cancer
摘要
Abstract
Esophageal cancer is a highly malignant tumor with a poor prognosis.Lymph node involvement and the number of positive nodes,especially the cervical and recurrent laryngeal nerve nodes,are independent prognostic predictors after esophagectomy.Three-field lymphadenectomy (3-FL) may prevent recurrence and prolong survival for esophagus carcinoma when compared with two-field lymphadenectomy (2-FL),whereas it is also a highly invasive procedure that can lead to severe complications.The status of cervical lymph nodes is one of the most important factors to identify whether 3-FL should be performed.Unfortunately,current clinically used approaches demonstrated a lower sensitivity and specificity in identifying cervical lymph node metastasis.Recurrent laryngeal nerve nodes also have been regarded as the sentinel nodes to predict cervical node metastasis with an accuracy of less than 50%.We will review the current diagnosis and treatment progress of cervical lymph node metastasis of esophageal cancer.关键词
食管癌/淋巴结清扫/颈淋巴结/超声/前哨淋巴结Key words
Esophageal Cancer/Lymphadenectomy/Cervical Lymph Node/Ultrasonography/Sentinel Node分类
医药卫生引用本文复制引用
王海军..胸段食管鳞癌颈淋巴转移诊治进展[J].肿瘤预防与治疗,2017,30(3):219-225,7.基金项目
国家科技支撑计划项目(编号:2015BAI12B08) （编号:2015BAI12B08）
