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[食管癌术前化疗后的组织学效应及预后]

[Histological effect and prognosis after preoperative chemotherapy in esophageal cancer].

作者信息

Ohara M, Ishihara K, Abe T, Yamazaki S, Miura T, Tanabe Y, Kusano M, Okayasu T, Hosokawa M, Fujita M

机构信息

Department of Surgery, Keiyukai Sapporo Hospital.

出版信息

Rinsho Byori. 1995 Mar;43(3):238-46.

PMID:7745829
Abstract

Preoperative chemotherapy for esophageal cancer was performed and the toxic effects, post-operative complications, histological effects and survival time were evaluated. Toxic effects and post-operative complications were rare. The histological effect was evaluated according to the Guidelines for Clinical and pathologic studies on carcinoma of the esophagus by the Japanese Society for Esophageal Disease. A histological effect of more than Grade II was seen from 25 to 42.1%. A significant difference was seen in the Kaplan-Meier survival curves between the response group and the no response group (p < 0.05). If we perform preoperative chemotherapy for esophageal cancer only to responsive cases determined by chemosensitivity tests, the prognosis of advanced esophageal cancer may be improved.

摘要

对食管癌患者进行了术前化疗,并评估了其毒性作用、术后并发症、组织学效果和生存时间。毒性作用和术后并发症较少见。根据日本食管疾病学会的食管癌临床和病理研究指南评估组织学效果。组织学效果超过二级的比例为25%至42.1%。反应组和无反应组的Kaplan-Meier生存曲线存在显著差异(p<0.05)。如果仅对通过化疗敏感性测试确定为反应性的病例进行食管癌术前化疗,晚期食管癌的预后可能会得到改善。

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