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食管癌的淋巴转移与淋巴结清扫术

Lymphatic spreading and lymphadenectomy for esophageal carcinoma.

作者信息

Ji Xiang, Cai Jie, Chen Yao, Chen Long-Qi

机构信息

Xiang Ji, Jie Cai, Yao Chen, Long-Qi Chen, Department of Thoracic Surgery, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China.

出版信息

World J Gastrointest Surg. 2016 Jan 27;8(1):90-4. doi: 10.4240/wjgs.v8.i1.90.

Abstract

Esophageal carcinoma (EC) is a highly lethal malignancy with a poor prognosis. One of the most important prognostic factors in EC is lymph node status. Therefore, lymphadenectomy has been recognized as a key that influences the outcome of surgical treatment for EC. However, the lymphatic drainage system of the esophagus, including an abundant lymph-capillary network in the lamina propria and muscularis mucosa, is very complex with cervical, mediastinal and celiac node spreading. The extent of lymphadenectomy for EC has always been controversial because of the very complex pattern of lymph node spreading. In this article, published literature regarding lymphatic spreading was reviewed and the current lymphadenectomy trends for EC are discussed.

摘要

食管癌(EC)是一种具有高度致死性且预后较差的恶性肿瘤。EC最重要的预后因素之一是淋巴结状态。因此,淋巴结清扫术已被认为是影响EC手术治疗效果的关键因素。然而,食管的淋巴引流系统,包括固有层和黏膜肌层丰富的毛细淋巴管网,非常复杂,会出现颈部、纵隔和腹腔淋巴结转移。由于淋巴结转移模式非常复杂,EC的淋巴结清扫范围一直存在争议。在本文中,我们回顾了有关淋巴转移的已发表文献,并讨论了目前EC的淋巴结清扫趋势。

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