122例早期食管癌的临床和病理分析

目的 探讨早期食管癌的临床及病理特点，提高早期食管癌的诊断率。方法回顾性分析该院2004～2008年5年间经术后病理证实的122例早期食管癌和同期1215例中晚期食管癌患者的临床病理资料。结果早期食管癌男性多见（78．69％，96／122）；好发年龄为50—69岁；好发于食管中段（79．51％，97／122）；粘膜下癌占多数（61．47％，75／122）；鳞癌占98．36％（120／122）；25．41％（31／122）因非食管症状就诊；糜烂型和斑块型各为45％、35％。早期食管癌与中晚期食管癌在性别、年龄段、发生部位方面均无显著性差异（P〉0．05）。早期食管癌胃镜下9例充血型病例均证实为原位癌，黏膜内癌中糜烂型为62．96％，黏膜下癌中斑块型为44．44％。早期食管癌胃镜下分型与其术后浸润深度有明显的相关性（P〈0．01）。结论早期食管癌胃镜下以糜烂型和斑块型为主。胃镜检查是发现早期食管癌的重要方法，且有助于肿瘤浸润深度的估计，重视胃镜下食管检查。

Early esophageal cancer:clinicalpathology characteristics of 122 cases

Aim To study clinicalpathology characteristics was made of the early esophageal cancer(EEC) and raise the diagnosis rate of it.Methods A retrospective analysis was made the 122 cases of the EEC and 1215 cases of accompanying EC in the mid-late stage which proved by operation from 2004 to 2008 in our hospital.Results 78.69% of the patients of EEC were males and ranged in age from 50 to 69 years.79.51% of the EEC was in middle part-oriented,61.47% of which was submucosal carcinoma.98.36% of its pathological t...