论文部分内容阅读
目的:探讨早期食管癌的临床病理特点,以其提高早期诊断率。方法:回顾性研究我院2006年~2012年经术后病理证实的134例早期食管癌患者的临床病理资料。结果:食管癌的平均好发年龄为60.05±5.71岁;男女性别之比为2.44:1;腺癌2例(1.49%),神经内分泌癌3例(2.24%),鳞癌129例(96.27%)。病变长度:<1cm以内的16例(11.94%),1~2cm的66例(49.25%),2.1~3cm的30例(22.39%),3.1~4cm的13例(9.70%),>4cm的9例(6.72%);浸润深度:原位癌14例(10.45%),黏膜内癌47例(35.07%),黏膜下癌73例(54.48%);以斑块型和糜烂型多见;黏膜下癌多见于斑块型、糜烂型、乳头型,原位癌多见于充血型。结论:胃镜检查是早期食管癌必不可少的诊断手段之一,并有助于估计癌组织的浸润程度,所以应该重视胃镜下的食管癌检查。
Objective: To investigate the clinicopathological features of early esophageal cancer and to improve the early diagnosis rate. Methods: The clinical and pathological data of 134 patients with early esophageal cancer confirmed by postoperative pathology from 2006 to 2012 in our hospital were retrospectively studied. Results: The average age of onset of esophageal cancer was 60.05 ± 5.71 years. The ratio of male to female was 2.44: 1. There were 2 cases of adenocarcinoma (1.49%), 3 cases of neuroendocrine carcinoma (2.24%), 129 cases of squamous cell carcinoma (96.27% ). The length of the lesion was 16 (11.94%) less than 1 cm, 66 (49.25%) at 1-2 cm, 30 (2.1%) at 2.1-3 cm, 13 (9.70%) at 3.1-4 cm, 9 cases (6.72%). The depth of invasion was 14 cases (10.45%) in situ carcinoma, 47 cases (35.07%) in mucosal carcinoma and 73 cases (54.48%) in submucosal carcinoma. Submucosal cancer more common in plaque type, erosive type, papillary type, more common in situ carcinoma of the congestion type. Conclusion: Gastroscopy is one of the indispensable diagnostic tools for early esophageal cancer, and help to estimate the degree of infiltration of cancer tissue, so esophageal cancer examination should be emphasized.