食管癌_____食管癌；青年人；外科治疗

青年人食管癌的外科诊治分析

http://www.100md.com 《新疆医科大学学报》 2005年第7期

食管癌,,食管癌；青年人；外科治疗,1资料与方法,2结果,3讨论,参考文献:

     摘要: 目的: 探讨青年人食管癌的特点和外科治疗。方法: 回顾性分析手术治疗的50例青年人(≤40岁)食管癌和同期100例(按1∶2比例随机抽取)中老年(>40岁)食管癌病人的临床病理资料和手术治疗情况。结果: 青年人食管癌病人误诊率高，肿瘤病理分化差，浸润度深，区域淋巴结转移率高，TNM分期Ⅲ、Ⅳ期比例高，术前合并症和术后并发症发生率低。结论: 青年人食管癌恶性程度高、易误诊，应早期诊断治疗，采取以手术为主的综合治疗。

    关键词: 食管癌；青年人；外科治疗

    Surgical treatment of esophageal carcinoma in young patients

    GUO Haitao, ZHANG Zhu, WU Mingbai, et al

    (Department of Thoracic Surgery, First Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, China)

    Abstract: Objective: To explore the characteristics and surgical treatment of esophageal carcinoma in young patients. Methods: We performed a retrospective review of 50 young patients (≤40 years) and randomly selected 100 older patients (>40 years) who underwent surgical treatment for esophageal carcinoma. Compared with their clinical, pathological characteristics and surgical treatment. Result: The young patients of esophageal carcinoma had higher misdiagnosis rate, worse pathological differentiation, higher regional lymph node metastasis, deeply invasion, higher proportion of TNM stage Ⅲ and Ⅳ, lower preoperative complications and postoperative complications than older patients. Conclusion: The young patients of esophageal carcinoma have higher malignant degree and be easy to misdiagnose. Early diagnosis and treatment is crucial important, They should be given multiplemodality treatment based on surgical operation. ......

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