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胸部同时性二原发癌少见,对其治疗的报导较少.我院胸外科自1981年～1995年经手术及病理证实的胸部恶生肿瘤1747例,其中同时性二原发癌5例,占0.3%,现报告如下:1 临床资料本组5例均为男性,年龄42～64.其中右上肺鳞癌与左上肺肺泡细胞癌、食管下段鳞癌与左上肺腺癌、右下肺鳞癌与贲门腺癌、颈部气管鳞癌与食管中段鳞癌、食管颈段鳞癌与贲门腺癌各1例.手术方式 例1经左胸后外侧切口行左上肺叶切除,3周后经右后外侧切口行右上肺叶切除.例2经左胸后外侧切口行食管下段癌切除、食管胃主动脉弓上吻合,同时行左上肺楔形切除.例3经右胸前
Chest simultaneity is rare in two primary cancers, and there are few reports on its treatment. There were 1747 cases of thoracic malignant tumors confirmed by surgery and pathology in our hospital’s thoracic surgery from 1981 to 1995, including 5 cases of simultaneous two primary cancers. 0.3%, the report is as follows: 1 clinical data in this group of 5 cases were male, aged 42 to 64. Among them, right upper lung squamous cell carcinoma and left upper lung alveolar cell carcinoma, lower esophageal squamous cell carcinoma and left upper lung adenocarcinoma, right lower lung scale Cancer and cardia adenocarcinoma, cervical and squamous cell carcinoma of the neck, esophageal squamous cell carcinoma, esophageal cervical squamous cell carcinoma, and cardial adenocarcinoma, respectively, 1 case. Surgical methods Example 1 Left upper thoracic incision left upper lobe resection, right after 3 weeks The posterolateral incision was performed on the right upper lobar resection. Example 2 The left esophageal incision was performed on the left esophagus and the esophagogastric aortic arch anastomosis was performed. The left upper lung wedge was also resected. Example 3 Right chest