食管癌气管食管沟巨大淋巴结转移15例报告

目的　评价CT检查和放射治疗对食管癌和气管食管沟淋巴结转移的诊断、治疗价值和疗效。方法　收集我科自 1992年 3月至 2 0 0 1年 5月治疗的食管癌气管食管沟巨大淋巴结转移 15例。常规放射治疗 12例 ,3例配合立体照射。 13例按计划完成放射治疗 ,照射剂量 6 5Gy。 结果　按计划完成放疗的患者局部病变完全缓解率为 10 0 %。 12例生存 6～ 18个月 ,中位生存时间 10个月 ,1例已生存 2年仍健在。结论　CT对食管癌治疗方案的制定有重要的参考价值 ,食管癌气管食管沟淋巴结转移者放疗应作为首选。

Tracheoesophageal groove huge lymph node metastasis of esophageal carcinoma 15 cases report

Objective To evaluate the value and effect of CT and radiotherapy in diagnosis of tracheoesophageal groove lymph node metastasis of esophageal cancer. Methods From March 1992 to May 2002, 15 cases of tracheoesophageal groove lymph node metastasis of esophageal cancer were treated with radiotherapy, among them, 3 cases stereotactic radiotherapy was used, with dose of 65Gy .Results Local changes complete response rate was 100% for the cases of fulfill radiotherapy. 12 cases survived 6 to 18 months, median survival time is 10 months, among them 1 case survived 2 years.Conclusion CT scan should be a conventional examination, and it was the basis of the therapy. Radiotherapy should be a primary method for tracheoesophageal groove lymph node metastasis of esophageal carcinoma.