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同步性肺和食管肿瘤的治疗选择:一个艰难的决策。

Treatment options for synchronous lung and esophagus tumors: A difficult decision to make.

作者信息

Büyükkarabacak Yasemin, Pirzirenli Mehmet Gökhan, Gurz Selçuk, Taslak Ayşen, Sullu Yurdanur, Çelik Burçin, Başoğlu Ahmet

机构信息

Department of Thoracic Surgery, Ondokuz Mayıs University Faculty of Medicine, Samsun, Türkiye.

Department of Pathology, Ondokuz Mayıs University Faculty of Medicine, Samsun, Türkiye.

出版信息

Turk Gogus Kalp Damar Cerrahisi Derg. 2023 Jan 30;31(1):136-142. doi: 10.5606/tgkdc.dergisi.2023.21233. eCollection 2023 Jan.

DOI:10.5606/tgkdc.dergisi.2023.21233
PMID:36926163
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10012991/
Abstract

Synchronous lung and esophageal carcinomas are rare clinical entities. Curative resection with lymph node dissection is the most optimal treatment approach for both tumors. However, due to the high potential risk of postoperative complications, the right approach is to make a patient-specific decision via a multidisciplinary approach at all stages. In this article, we present three cases of synchronous lung and esophageal tumors treated with different approaches due to their specific circumstances and discuss their pre-, intra-, and postoperative stages.

摘要

同步性肺癌和食管癌是罕见的临床实体。行淋巴结清扫的根治性切除术是这两种肿瘤最理想的治疗方法。然而,由于术后并发症的潜在风险较高,正确的方法是在各个阶段通过多学科方法做出针对患者的决策。在本文中,我们介绍了三例因具体情况采用不同方法治疗的同步性肺和食管肿瘤病例,并讨论了它们的术前、术中和术后阶段。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/10012991/cf2f563f4565/TJTCS-2023-31-1-136-142-F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/10012991/9f8edaaa902c/TJTCS-2023-31-1-136-142-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/10012991/ca2b7fb793f7/TJTCS-2023-31-1-136-142-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/10012991/cf2f563f4565/TJTCS-2023-31-1-136-142-F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/10012991/9f8edaaa902c/TJTCS-2023-31-1-136-142-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/10012991/ca2b7fb793f7/TJTCS-2023-31-1-136-142-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b57e/10012991/cf2f563f4565/TJTCS-2023-31-1-136-142-F3.jpg

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本文引用的文献

1
Synchronous Esophageal and Lung Cancer.同步性食管癌和肺癌
Thorac Surg Clin. 2018 Feb;28(1):97-104. doi: 10.1016/j.thorsurg.2017.09.002.
2
Minimally invasive resection of synchronous triple primary tumors of the esophagus, lung, and thymus: A case report.食管、肺和胸腺同步三原发肿瘤的微创切除术:一例报告
Int J Surg Case Rep. 2016;29:59-62. doi: 10.1016/j.ijscr.2016.10.048. Epub 2016 Oct 23.
3
Clinical management of gastroesophageal junction tumors: past and recent evidences for the role of radiotherapy in the multidisciplinary approach.
胃食管交界部肿瘤的临床管理:放疗在多学科治疗中作用的既往及近期证据
Radiat Oncol. 2014 Feb 5;9:45. doi: 10.1186/1748-717X-9-45.
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Is surgical treatment of cancer of the gastric cardia or esophagus associated with a concurrent major pulmonary operation feasible? One center's experience.贲门或食管癌的外科治疗与同期主要肺部手术相关是否可行?一家中心的经验。
Chin Med J (Engl). 2012 Jan;125(2):193-6.
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Treatment of double carcinoma of the esophagus and lung.食管癌和肺癌双重癌的治疗。
Gen Thorac Cardiovasc Surg. 2008 Mar;56(3):126-30. doi: 10.1007/s11748-007-0200-0. Epub 2008 Mar 14.
6
Transthoracic esophagectomy and lobectomy performed in a patient with synchronous lung cancer and combined esophageal cancer and esophageal leiomyosarcoma.对一名同时患有肺癌、合并食管癌和食管平滑肌肉瘤的患者进行了经胸段食管癌切除术和肺叶切除术。
Eur J Cardiothorac Surg. 2007 Feb;31(2):322-4. doi: 10.1016/j.ejcts.2006.11.013. Epub 2006 Dec 11.
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Surgical treatment of cancer of the thoracic esophagus in association with a major pulmonary operation.胸段食管癌与大型肺部手术联合的外科治疗。
J Am Coll Surg. 1997 Dec;185(6):520-4. doi: 10.1016/s1072-7515(97)00102-6.