临床与实验病理学杂志2017，Vol.33Issue(6)：606-612,7.DOI:10.13315/j.cnki.cjcep.2017.06.004
368例内镜切除早期食管癌及癌前病变回顾性分析
Early esophageal cancer or precancerous lesions treated by endoscopic resection: a single-center retrospective study of 368 cases
摘要
Abstract
To investigate the clinicopathological features as well as prognosis of early esophageal squamous cell neoplasm (ESCN) treated with endoscopic resection (ER).Methods 368 patients were collected from 2007 to 2013.Clinicopathological features including invasion depth and margin were evaluated.Survival curves were constructed by using the Kaplan-Meier method.Univariate and multivariate Cox proportional hazard regression models were performed to identify associations with outcome variables.Results There were 252 males and 116 females with a median age of 61 (16-84) years.Patient numbers of hyperplasia,low grade intraepithelial neoplasia,high grade intraepithelial neoplasia,m1,m2,m3,sm1 and sm2 were 47(12.8％),61 (16.6％),61 (16.6％),54(14.7％),38(10.3％),63(17.1％),12(3.3％) and 32(8.7％),respectively.The cumulative overall 1-year,3-year,and 5-year rates of survival in the metachronous esophageal lesions were 4.1％,12.9％ and 32.6％,respectively.The incidence of lymph node/distant metastasis was 1.54％ in m3,6.25％ in sm2,and 0 in other subgroups.The overall 1-year,3-year,and 5-year survival rates were 99.5％,97.3％,and 87.5％,respectively.Significant difference was identified between sm2 and non-sm2 patients in metastatic rate (P =0.021),however,no significant difference existed between m3 patients and sm2 patients (P =0.252).Metachronous esophageal lesion and survival between sm2 and non-sm2 patients demonstrated no statistical difference (P =0.401 and P =0.634).Conclusion ER is an effective and relatively safe treatment for superficial ESCN.The procedure is still appropriate in selecting sin2 patients.It is necessary to monitor the second primary cancer in sm2 patients during follow-up.关键词
食管肿瘤/癌前病变/内镜切除/sm2/预后Key words
esophageal neoplasms/precancerous lesion/endoscopic resection/sm2/prognosis分类
医药卫生引用本文复制引用
刘亚岚,蒋冬先,侯英勇,宿杰阿克苏,曾海英,黄洁,徐一凡,徐晨..368例内镜切除早期食管癌及癌前病变回顾性分析[J].临床与实验病理学杂志,2017,33(6):606-612,7.基金项目
上海市卫计委薄弱科室资助项目(2015ZB0201) （2015ZB0201）
