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[食管癌食管切除术后颈部淋巴结复发患者的治疗结果]

[Treatment outcomes of patients with cervical lymph node recurrence after esophagectomy for esophageal cancer].

作者信息

Takemura Masashi, Kaibe Nobuaki, Takii Mamiko, Yoshida Kayo, Niwa Hirotaka, Oshima Tsutomu, Kikuchi Shoujiro, Sasako Mitsuru

机构信息

Dept. of Upper Gastrointestinal Surgery, Hyogo College of Medicine.

出版信息

Gan To Kagaku Ryoho. 2014 Nov;41(12):2010-2.

Abstract

Herein, we report the treatment outcomes of patients with limited cervical lymph node recurrence after esophagectomy for esophageal cancer. Between April 2010 and December 2013, 8 patients with cervical lymph nodes recurrence were diagnosed and treated in our department. All patients were detected with recurrent disease by using positron emission tomography computed tomography(PET-CT), and among these, 5 patients had solitary node recurrence. Initial treatments were irradiation therapy in 5 patients and lymphadenectomy in 3 patients. Four of 5 patients underwent irradiation therapy and lymphadenectomy. Four of 5 patients with solitary node recurrence are still alive without relapse of disease. In conclusion, PET-CT can be useful for early detection of recurrent disease after esophagectomy. Appropriate therapy for patients with solitary cervical lymph node recurrence is associated with long-term survival after recurrence.

摘要

在此,我们报告了食管癌切除术后颈部淋巴结局限性复发患者的治疗结果。2010年4月至2013年12月期间,我科诊断并治疗了8例颈部淋巴结复发患者。所有患者均通过正电子发射断层扫描计算机断层扫描(PET-CT)检测到复发性疾病,其中5例为孤立性淋巴结复发。初始治疗中,5例患者接受了放射治疗,3例患者接受了淋巴结切除术。5例接受放射治疗的患者中有4例同时接受了淋巴结切除术。5例孤立性淋巴结复发患者中有4例仍存活且无疾病复发。总之,PET-CT有助于食管癌切除术后复发性疾病的早期检测。对孤立性颈部淋巴结复发患者进行适当治疗与复发后的长期生存相关。

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