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食管癌根治术后纵隔淋巴结转移的特点
引用本文:刘明,周道安,李彩英,彰俊杰. 食管癌根治术后纵隔淋巴结转移的特点[J]. 中华放射肿瘤学杂志, 2001, 10(2): 83-84
作者姓名:刘明  周道安  李彩英  彰俊杰
作者单位:1. 河北医科大学第四医院放射治疗科
2. 河北医科大学第四医院CT室
摘    要:目的:探讨食管癌根治术后纵隔淋巴结转移的特点。方法:回顾性分析92例中段食管癌根治术后纵隔淋巴结肿大的CT资料,对发生于每个区的淋巴结肿大的病例数进行统计。结果75例纵隔淋巴结转移发生在食管癌根治术后1年内,右上气管旁淋巴结转移46例,降突下淋巴结转移31例,左下及右下气管旁淋巴结转移27例。结论:纵隔淋巴结转移是胸中段食管癌根治术后最常见的转移癌位,建议做常规CT扫描,而右上气管旁(2R区)该区常规胸片及临床检查为阴性。

关 键 词:食管肿瘤 淋巴结转移 纵隔转移 手术后
修稿时间:2000-09-17

The sites of lymph node metastasis in mediastinum after radical surgery for middle thoracic esophagus cancer
LIU Ming ,LI Caiying,ZHOU Daoan,et al.. The sites of lymph node metastasis in mediastinum after radical surgery for middle thoracic esophagus cancer[J]. Chinese Journal of Radiation Oncology, 2001, 10(2): 83-84
Authors:LIU Ming   LI Caiying  ZHOU Daoan  et al.
Affiliation:LIU Ming *,LI Caiying,ZHOU Daoan,et al. *Department of Radiation Oncology,Hebei Medical University Fourth Hospital,Shijiazhuang 050011,China
Abstract:Objective To study the sites of lymph node metastasis in mediastinum after radical surgery for esophagus cancer. Methods From 1989 to 1998, 92 patients with mid thoracic esophageal cancer received radical surgery. The sites of lymph node metastasis in mediastinum were analyzed. Results Seventy five(85%) of 92 patients developed lymph node metastasis in the mediastinum within 1 year after operation. The sites of lymph node metastasis were located in R 2 region in 46 patients, in regions 7 and 8 in 31, and in region 4L and 4R in 27.Conclusions The lymph node metastasis in the right para bronchus area is common in those patients with mid thoracic esophageal cancer after surgery. We suggest that chest CT scan be a routine examination for these patients because the routine roentgenogram and physical examination can not show them.
Keywords:Esophageal neoplasms/surgery   Lymph node metastasis   Mediastinum
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