我科共收治上消化道和肺多原发癌１２８例，占同期我科收治上消化道及肺部恶性肿瘤患者的１．４％。所有病例均经病理证实。手术治疗８４例，１年生存率为１００．０％（８４／８４），３年生存率为３０．０％（２１／７０），５年生存率为１９．６％（１０／５１）；非手术治疗４４例，其中３２例在１年内死亡。说明对上消化道及肺多原发癌应采取积极的治疗，尽可能争取手术切除。 Our department received a total of 128 cases of upper gastrointestinal tract and multiple primary lung cancers, accounting for 1.4% of patients with malignant tumors of the upper gastrointestinal tract and lung in our department during the same period. All cases were confirmed by pathology. In 84 cases treated with surgery, the 1-year survival rate was 100.0% (84/84), the 3-year survival rate was 30.0% (21/70), and the 5-year survival rate was 19.6% (10/51). Non-surgical treatment of 44 cases, 32 cases died within 1 year. It should be noted that active treatment should be taken for multiple primary cancers of the upper digestive tract and lungs and surgical resection should be pursued as much as possible.