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食管癌术后复发的CT诊断
引用本文:赵新春,孙玉梅,张建伟. 食管癌术后复发的CT诊断[J]. 中国煤炭工业医学杂志, 2006, 9(9): 921-922
作者姓名:赵新春  孙玉梅  张建伟
作者单位:1. 510851,广东省广州市花都区狮岭医院放射科
2. 河南省新乡市第三人民医院CT室
3. 河南省肿瘤医院CT室
摘    要:目的 探讨食管癌术后复发的CT表现特点,并分析其原因。方法 经CT诊断为术后复发病例共48例,分析其CT表现特点;查阅病例,了解切除范围,探讨术后复发的原因。结果 吻合口复发28例,在CT片上表现为吻合口区不规则肿块影;胸胃复发20例,在CT片上表现为纵隔内结节或肿块,胸胃腔变窄,胸胃壁不规则增厚,并形成软组织肿块影。结论 CT检查是诊断食管癌术后复发的重要手段之一;尽可能扩大手术切除范围是减少食管癌术后复发的较好办法。

关 键 词:食管癌  手术治疗  复发  计算机体层成像
文章编号:1007-9564(2006)09-0921-02
收稿时间:2005-12-19
修稿时间:2006-04-06

CT CHARACTERISTICS OF POSTOPERATIVE RECURRENCE OF ESOPHAGEAL CANCER
Zhao Xinchun,Sun Yumei,Zhang Jianwei. CT CHARACTERISTICS OF POSTOPERATIVE RECURRENCE OF ESOPHAGEAL CANCER[J]. Chinese Journal of Coal Industry Medicine, 2006, 9(9): 921-922
Authors:Zhao Xinchun  Sun Yumei  Zhang Jianwei
Abstract:Objective To investigate the computed tomography (CT) characteristics and reason of esophageal cancer after operation(RECAO). Methods CT characteristics and clinical data of 48 cases diagnosed as RECAO were retrospectively reviewed. Results There were 28 cases with anastigmatic recurrence, the signs on CT were mass a rounding anastigmatic. There were 20 cases recurrenced on thoracic stomach, presented mass in mediastinum, the wall of thoracic stomach becaming thickness and mass in the thoracic stomach formed. Conclusion CT is one of the important methods in diagnosing RECAO; More extensive resection is probably a better way to reduce RECAO.
Keywords:esophageal cancer   operation   recurrence   computed tomography
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