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食管贲门癌切缘癌残留68例分析
引用本文:张安庆,董正.食管贲门癌切缘癌残留68例分析[J].山西医科大学学报,1995(2).
作者姓名:张安庆  董正
作者单位:Dept.of Thoracic Surgery,lst Affiliated Hospital
摘    要:本文报告1980~1994年间手术切除食管贲门癌986例,术后切缘癌残留68例,发生率为0.8%。其中食管癌切除术后切缘癌残留9.2%(44/478);贲门癌切除术后切缘癌残留4.7%(24/508),术后1、3、5年生存率分别为51.5%(34/66)、14.5%(9/62)和3.7%(2/54)。作者认为切缘癌残留与切端距肿瘤的距离有密切关系,主张距肿瘤上下各10cm以上切除,术中残端快速病理检查和术前放疗有利于减少切缘癌残留,提高5年生存率。

关 键 词:食管肿瘤,贲门肿瘤,切缘肿瘤残留

Analysis of 68 residual cancers at the margin of resection of esophagealand cardiac carcinomata
Zhang Anqing,et al.Analysis of 68 residual cancers at the margin of resection of esophagealand cardiac carcinomata[J].Journal of Shanxi Medical University,1995(2).
Authors:Zhang Anqing  
Abstract:he authors reported 978 patients with esophageal and cardiac carcinomatafrem 1980 to 1994. Residual cancers at the margin of resection were foundin 68 cases (6.8%),of them 44 had esophageal cancer and 24 cardiac car-cinoma. The survival rates in 1,3 and 5 years after operation were 51.5%(34/68),14.5%(9/62)and 3.7%(2/54)respectively. Its major cause was due to insufficient length of the tissues resectedfrom the tumer.It is impcrtant that the extent of resection should be leng-thened and biopsy be performed during the operation .
Keywords:esophageal neoplasms  cardiac neoplasms  residual neoplasms at      resection margin
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