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浅表性食管癌是指癌细胞仅侵犯粘膜及粘膜下层。此类病灶若未累及淋巴结称为早期食管癌,累及者则称为伴有淋巴结转移的浅表性食管癌。本文对8例早期食管癌及1例伴有淋巴结转移的浅表性食管癌的临床症状、手术方式及病理等进行综合分析。男7例,女2例,平均年龄66岁。6例没有与食管病变有关的临床症状,2例有吞咽困难,1例由吞咽时不适发展为吞咽时胸骨后疼痛。患者均经X线和内窥镜检查。全部病例均作手术治疗,其中8例作食管次全切除术及颈段食管-胃吻合术。另1例作食管下段-贲门切除术及胸腔内食管-胃吻合术。7例作局部淋巴结切除,余2例因有严重的伴发疾病,仅用钝性剥离取出下
Superficial esophageal cancer means that cancer cells only invade the mucosa and submucosa. Such lesions are referred to as early esophageal cancer if no lymph nodes are involved, and those with involvement are referred to as superficial esophageal cancers with lymph node metastases. This article comprehensively analyzes the clinical symptoms, surgical methods and pathology of 8 cases of early esophageal cancer and 1 case of superficial esophageal cancer with lymph node metastasis. There were 7 males and 2 females with an average age of 66 years. Six patients had no clinical symptoms related to esophageal lesions, two patients had dysphagia, and one patient developed dysphagia after swallowing when swallowed. All patients underwent X-ray and endoscopy. All cases were treated with surgery, of which 8 cases were subtotal esophagectomy and cervical esophageal-gastric anastomosis. The other case was esophageal-cardiac ablation and intrathoracic esophageal-gastric anastomosis. 7 cases had regional lymph node resection and the remaining 2 cases had severe concomitant diseases and were only removed by blunt dissection.