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回顾性分析128例食管-胃交界部癌。男女比例为3.9:1,55岁以上者占80.5%,25%的患者有吸烟史;最常见的临床表现为上腹不适和进食梗噎感,伴贫血者32例;所有病例均行胃镜和GI检查,均经胃镜下病理活检确诊;早期诊断率仅为0.78%,伴有局部淋巴结转移者62.5%,远处转移者5.47%;116例行根治性手术,其中腺癌94.0%,鳞癌1.72%。提示食管-胃交界部癌好发于老年人,易发生局部及远处转移,早期诊断率低。及早内镜检查及放大内镜、色素内镜的应用有助于早期诊断。根治性手术为首选治疗方法。
Retrospective analysis of 128 cases of esophageal - gastric junction cancer. Male to female ratio was 3.9: 80.5% were over 1,55 years old, and 25% had smoking history. The most common clinical manifestations were abdominal discomfort and eating stomachache with anemia in 32 cases. All cases underwent gastroscopy GI examination were confirmed by biopsy biopsy; early diagnosis rate was only 0.78%, with local lymph node metastasis 62.5%, distant metastasis 5.47%; 116 radical surgery, of which 94.0% of adenocarcinoma, squamous cell carcinoma 1.72%. Tip Esophageal - gastric junction cancer occurs in the elderly, prone to local and distant metastasis, early diagnosis is low. Early endoscopy and magnifying endoscopy, endoscopic application of pigment helps early diagnosis. Radical surgery is the preferred treatment.