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本文对103例食管癌转移病例进行了回顾性临床分析。结果表明:食管癌转移以淋巴道途径占绝大多数,为93.20%;血行转移仅占6.80%。淋巴道转移部位以锁骨上淋巴结转移最多,纵隔淋巴结转移次之:血行转移郭位以肺转移最多。原发病灶以中段、髓质型、Ⅳ期转移最多;治疗后转移以手术后转移最多。原发病灶治疗结束到转移病灶最初发现,其间隔时间平均值为6个月。
This article retrospectively analyzed 103 cases of esophageal cancer metastases. The results showed that the majority of esophageal cancer metastasis was lymphatic pathway, which was 93.20%; blood metastasis accounted for only 6.80%. Lymph node metastasis was the most common with supraclavicular lymph node metastasis, followed by mediastinal lymph node metastasis: blood metastasis Guo position was the most with lung metastasis. The primary lesions were metastasized mostly in the middle, medullary and stage IV. The metastasis after treatment was most common after surgery. The initial time from the end of treatment of the primary lesion to the metastatic lesion was initially found to be an average of 6 months.