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我们自1975～1990年对495例食管癌、贲门癌病人施行了手术治疗,其中60岁以上病人84例,现将治疗情况加以讨论。1 临床资料1.1 一般资料:本组84例中男性64例,女性20例,男女之比为3.2:1。60～69岁62例,70～79岁22例。食管癌56例,贲门癌28例。病变长度3cm～8cm,平均4.7cm。从病理角度看,病变长度越长肿瘤外侵越严重,多数病例已侵及肌层。以病理分型看髓质型占72％。从淋巴结转移情况看,有局部淋巴结转移者10/40,占25％病理证实上下残端均未发现癌细胞。其中鳞状细胞癌70例,腺癌14例,腺癌均为贲门癌。
Since 1975 to 1990, we have performed 495 cases of esophageal and cardiac cancer patients undergoing surgical treatment, of which 84 patients over 60 years of age, the current treatment will be discussed. 1 Clinical data 1.1 General information: In this group of 84 patients, 64 were males and 20 were females. The ratio between males and females was 3.2:1. There were 62 patients aged 60-69 years and 22 patients aged 70-79 years. There were 56 cases of esophageal cancer and 28 cases of cardiac cancer. Lesion length 3cm ~ 8cm, an average of 4.7cm. From the pathological point of view, the longer the lesion is, the more aggressive the tumor is, and most cases have invaded the muscularis. The pathological type of medulla accounting for 72%. From the point of view of lymph node metastasis, there were 10/40 patients with regional lymph node metastasis, accounting for 25% of the pathological confirmed that no cancer cells were found in the upper and lower stumps. Among them, 70 cases were squamous cell carcinoma, 14 cases were adenocarcinoma, and adenocarcinoma was cardiac cancer.