胸段食管癌淋巴结转移率及转移方向.pdfVIP

• 143 • 1申瘤防治研究2007 军第34 卷第2 期 ·临床研究· 胸段食管癌淋巴结转移率及转移方向 伊斯刊达尔，张建庆，王海峰，张瑾熔，阿合力 Lymph Node Metastasis Rate and Metastasis Direction of Esophageal Carcinoma Yiskandaer , ZHANG lian-qing , WANG Hai-feng , ZHANG lin-rong , Aheli Deρartment of Radiotherapy , Tumor Hosρital ， Xinjiang Medical University ,Urumqi 830011 , China At陆tract: Objective To probe the relation ship between lymph node metastasis rate and various kinds pathologic appearance of esophageal carcinoma. Metb例如 For the 149 esophageal carcinoma cancer pa- tients who were diagnosed , their clinical data were analyzed retrospectively. Results All of lymph node detected were 765 , the metastatic were 336 and the metastasis rate was 43. 9 %. The lymph node metas- tasis rate of various group were clavicle regionalmediastinalarteriae gastrica sinistra regionalesoph- agus side in order. The difference between the deep of tumor infiltration , the degree of cell differentiation and lymph node metastasis rate were significance. While the difference between the lesion site , lesion length and lymph node metastasis rate were not significance. Conclusion The lymph node metastasis rate of lengthways of esophageal carcinoma was greater than the transversa l. The esophagus side lymph node could not be regarded as sentinel node of esophageal cancer. For decreasing residual of lymph node and improving prognosis of patients , extensive cervical part , thoracic part and abdominal part lymph node scavenge should be carried out. Key words:Esophageal cancer; Lymph metastasis; Metastatic rule 摘 要:目的探讨胸段食管癌淋巴结转移率及转移方向与各种病理学相关因素之间的联系。方法 回顾性分析了 149 例伴有淋巴结转移的食管癌根治性手术患者的临床和病理资料。结果 共检出 765 枚淋巴结，发生转移者 336 枚，总转移率为43.9% ，各组淋巴结的转移率依次为:锁骨上〉纵隔胃左动 脉区〉食管旁，其中肿瘤浸润深度和分化程度与淋已结转移率之间的差异有显著性(P=O.OO3， P=