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中国食管癌高发区食管原发性腺癌组织病理学研究Ⅰ.食管原发性腺癌的临床病理学分析
引用本文:张永幸,乔思杰,沈琼,裘宋良,宋明清,阎爱华,任秀花,傅怀平. 中国食管癌高发区食管原发性腺癌组织病理学研究Ⅰ.食管原发性腺癌的临床病理学分析[J]. 河南医学研究, 1994, 0(4)
作者姓名:张永幸  乔思杰  沈琼  裘宋良  宋明清  阎爱华  任秀花  傅怀平
作者单位:河南医科大学食管癌前研究室,河南省肿瘤医院病理科
摘    要:中国食管癌高发区河南省近15年(1980~1994)病理确诊的7364例食管癌中,其中食管原发性腺癌(PEA)239例,占3.25%。通过对239例PEA手术标本(包括早期癌20例,其余为中、晚期癌)切片系统观察,指出中国食管癌高发区PEA主要起源于食管固有腺体的各级导管部分。PEA的病理组织学可分6型:腺导管癌(109例)、腺鳞癌(54例)、腺样囊性癌(29例)、粘液表皮样癌(20例)、基底细胞样癌(15例)、胃型腺癌(12例)。每型的组织图象及预后均各有特点,提示PEA组织学再分型有意义。

关 键 词:食管肿瘤,食管原发性腺癌(PEA),病理组织学,起源,组织类型

STUDY ON HISTOLOGY AND PATHOLOGY OF PRIMARY ESOPHAGEAL ADENOCARCINOMA IN HIGH INCIDENCE REGION OF ESOPHAGEAL CANCER IN CHINAⅠ.ANALYSES IN CLINICAL-PATHOLOGY OF PEA
Zhang Yong-xing Qiao Si-jie Shen Qiong et al. STUDY ON HISTOLOGY AND PATHOLOGY OF PRIMARY ESOPHAGEAL ADENOCARCINOMA IN HIGH INCIDENCE REGION OF ESOPHAGEAL CANCER IN CHINAⅠ.ANALYSES IN CLINICAL-PATHOLOGY OF PEA[J]. Henan Medical Research, 1994, 0(4)
Authors:Zhang Yong-xing Qiao Si-jie Shen Qiong et al
Abstract:of 7364 cases of esopbageal carcinoma pathologically confirmed af-ter resection in 1980~1994 in Henan Province ,PEA accounted for 3.25%(239 cases).239cases have 20 early period cases,and the others are middle and later period carcinoma. 239 re-sected specimens with PEA were examined pathologically.It was found that PEA in high in-cidence region of esophageal cancer in China originate from esophageal gland properia′ s glan-dular duct.These were divided into 6 types :①glandular duct carcinoma ,101 cases;②ade-no-squamous carcinoma ,54 cases;③muco-epidermoid carcinoma ,20 cases;④adenoid cysticcarcinoma ,29 cases;⑤basal cell-like carcinoma ,15 cases;⑥adenocarcinoma of gastrictype,12 cases and their histogenesis and prognosis also varied.
Keywords:tumor of esophagus   primary esophageal adenocarcinoma( PEA)  clinical-pathlogy  origin histologic type  
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