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食管鳞状细胞癌:治疗困境

Squamous cell carcinoma of the esophagus: therapeutic dilemma.

作者信息

Altorki N K, Girardi L, Skinner D B

机构信息

New York Hospital-Cornell Medical Center, New York 10021.

出版信息

World J Surg. 1994 May-Jun;18(3):308-11. doi: 10.1007/BF00316808.

DOI:10.1007/BF00316808
PMID:8091769
Abstract

Seventy-five patients with squamous cell carcinoma of the esophagus were evaluated over a 5-year period. Most of the patients had advanced-stage cancer when first seen. Only 50% were surgically explored, and 33% underwent resection. Operative mortality was 8%. Despite the immediate and durable palliation provided by surgical resection, survival rates were poor. Early diagnosis and aggressive surgical resection are the main hopes for improved long-term results.

摘要

在5年期间对75例食管鳞状细胞癌患者进行了评估。大多数患者初诊时已处于癌症晚期。仅50%的患者接受了手术探查,33%的患者接受了切除术。手术死亡率为8%。尽管手术切除能带来即时且持久的缓解,但生存率仍很低。早期诊断和积极的手术切除是改善长期治疗效果的主要希望。

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Squamous cell carcinoma of the esophagus: therapeutic dilemma.食管鳞状细胞癌:治疗困境
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2
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引用本文的文献

1
Chylothorax after thoracoscopic esophagectomy.胸腔镜下食管切除术后乳糜胸
Jpn J Thorac Cardiovasc Surg. 2000 Apr;48(4):238-41. doi: 10.1007/BF03218130.

本文引用的文献

1
Transhiatal esophagectomy for benign and malignant disease.经胸食管切除术治疗良性和恶性疾病。
J Thorac Cardiovasc Surg. 1993 Feb;105(2):265-76; discussion 276-7.
2
En bloc resection for neoplasms of the esophagus and cardia.食管和贲门肿瘤的整块切除术。
J Thorac Cardiovasc Surg. 1983 Jan;85(1):59-71.
3
Trends in esophageal cancer mortality among US blacks and whites.美国黑人和白人食管癌死亡率的趋势。
Am J Public Health. 1987 Mar;77(3):296-8. doi: 10.2105/ajph.77.3.296.
4
The results of esophagogastrectomy without thoracotomy for adenocarcinoma of the esophagogastric junction.经腹食管胃切除术治疗食管胃交界腺癌的结果
Ann Surg. 1989 Oct;210(4):535-42; discussion 542-3. doi: 10.1097/00000658-198910000-00014.
5
The treatment of lymph node metastasis from esophageal cancer by extensive lymphadenectomy.食管癌淋巴结转移的广泛淋巴结清扫术治疗
Jpn J Surg. 1990 Mar;20(2):151-7. doi: 10.1007/BF02470762.
6
En bloc esophagectomy: the first 100 patients.
Hepatogastroenterology. 1990 Aug;37(4):360-3.
7
Surgical therapy of oesophageal carcinoma.
Br J Surg. 1990 Aug;77(8):845-57. doi: 10.1002/bjs.1800770804.
8
Rising incidence of adenocarcinoma of the esophagus and gastric cardia.食管和贲门腺癌的发病率上升。
JAMA. 1991 Mar 13;265(10):1287-9.
9
Combined chemotherapy and radiotherapy compared with radiotherapy alone in patients with cancer of the esophagus.食管癌患者联合化疗与单纯放疗的比较
N Engl J Med. 1992 Jun 11;326(24):1593-8. doi: 10.1056/NEJM199206113262403.
10
Surgical strategies in esophageal carcinoma with emphasis on radical lymphadenectomy.食管癌的手术策略,重点是根治性淋巴结清扫术。
Ann Surg. 1992 Nov;216(5):583-90. doi: 10.1097/00000658-199211000-00010.