论文部分内容阅读
我院自1960年至1984年共切除食管、贲门癌304例,其中双原发癌3例,发生率0.98%,本病术前易漏诊。本组3例中有2例在术中探查发现,另1例术前经 X 线食管钡餐检查诊断多发癌,本文重点讨论食管、贲门部双原发癌术前漏诊的主要原因,强调指出术中不能满足于已发现的一个肿瘤而忽略另一个肿瘤存在的可能性,术前作食管镜检查是防止漏诊双原发癌及确保正确切除范围提高手术疗效的可靠方法。
In our hospital from 1960 to 1984, a total of 304 cases of esophageal and cardiac cancers were resected, including 3 cases of double primary cancers. The incidence rate was 0.98%. The disease was easily missed before surgery. 2 cases in 3 cases in this group were discovered during surgery, and another case was diagnosed with multiple X-ray barium meal bariatric examination before surgery. This article focuses on the main reasons for preoperative missed diagnosis of double primary cancer in the esophagus and cardia. It is not satisfied with the one tumor that has been found and ignores the possibility of another tumor. Preoperative esophagoscopy is a reliable method to prevent the missed diagnosis of double primary cancer and to ensure that the correct range of resection can improve the curative effect.