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回顾性复习1987年1月~1995年12月手术切除食管癌646例,发现胃转移5例,占0.8%。原发灶位食管中段1例,下段4例。转移灶位贲门小弯侧3例,贲门胃底区1例,胃体小弯侧1例。淋巴结转移率80%。中位生存时间18个月。全部病例由术后病理检查确诊,结合文献对其组织学诊断标准进行了讨论。认为食管癌的胃转移以淋巴途径为主。外科手术是主要治疗手段,术后应辅以有效化疗。
A retrospective review of 646 cases of esophageal cancer surgery from January 1987 to December 1995 revealed that there were 5 cases of gastric metastases, accounting for 0.8%. The primary lesion was located in the middle esophagus in 1 case and in the lower segment in 4 cases. There were 3 cases of metacarpal fontanel curvature on the metastatic site, 1 case of cardia gastric fundus area, and 1 case of small curvature side of gastric body. The lymph node metastasis rate is 80%. The median survival time is 18 months. All cases were diagnosed by postoperative pathological examination and the histological diagnostic criteria were discussed in conjunction with the literature. It is considered that the gastric metastases of esophageal cancer are mainly lymphatic pathways. Surgery is the main treatment and postoperative chemotherapy should be supplemented with effective chemotherapy.