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16例同步性食管癌和肺癌患者同期行食管及肺切除治疗的临床观察

[Clinical observation of 16 patients with synchronous esophageal cancer and lung cancer treated with simultaneous esophagus and lung resection].

作者信息

Li Fang, Shao Kang, Xue Qi, He Jie

机构信息

Department of Imaging Diagnosis, Cancer Hospital (Institute), Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100021, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2011 Apr 19;91(15):1064-6.

Abstract

OBJECTIVE

To study the pathogenesis, clinical features, curative effect and prognosis of esophageal cancer associated with lung cancer.

METHODS

We reviewed 16 cases of esophageal cancer associated with lung cancer managed at our hospital between January 2003 and July 2009 and analyzed their clinical data.

RESULTS

There were 16 cases of esophageal cancer associated with lung cancer. There were 12 males and 4 females with a male to female ratio of 3:1. The average age at the onset of the disease was 67 years old (range: 51 - 76). The resection rate of esophageal cancers was 100%. There was 1 case of non-radical resection. And the resection rate of lung cancer was 100%. There were radical resection (n = 7) and wedge resection (n = 9). The 1-year overall survival rate was 87.5%.

CONCLUSION

Lung lesions of esophageal cancer patients may be discovered by computed tomography screening of chest. More male patients than female patients are diagnosed with esophageal cancer associated with lung cancer. The operative risks and complication rates are generally acceptable.

摘要

目的

研究食管癌合并肺癌的发病机制、临床特征、疗效及预后。

方法

回顾性分析我院2003年1月至2009年7月收治的16例食管癌合并肺癌患者的临床资料。

结果

16例食管癌合并肺癌患者中,男性12例,女性4例,男女比例为3∶1。发病平均年龄67岁(51~76岁)。食管癌切除率为100%,其中非根治性切除1例;肺癌切除率为100%,其中根治性切除7例,楔形切除9例。1年总生存率为87.5%。

结论

胸部CT筛查可发现食管癌患者肺部病变。男性食管癌合并肺癌患者多于女性。手术风险及并发症发生率总体可接受。

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