摘要
1993年7月至1995年7月应用电化学治疗中、晚期食管癌、贲门癌100例,其中87例食管癌,13例贲门癌。X线造影病变位于胸上段15例,中段45例,下段27例,贲门13例,肿瘤侵犯食管长度3.0~5.0cm25例,5.1~7.0cm50例,7.1~9.0cm19例,>9cm6例。87例食管癌内,髓质型47例,缩窄型29例,覃伞型8例,溃疡型3例,另13例贲门癌未分型。病理诊断:鳞癌78例,腺癌22例。本组无Ⅰ期(T1N0M0)病例,Ⅱ期(T2N0M0)25例,Ⅲ期(T3N1M0)69例,Ⅳ期(T1N2M1)6例,全组病例均有进食梗阻症状。根据UICC标准评定,100例经6~24个月观察,其近期疗效CR15例,PR59例,NC15例,PD10例,其中CR+PR共75例占75%。远期随访57例,生存13个月至24个月。
From July 1993 to July 1995, 100 cases of advanced esophageal or cardiac carcinonma were treated with eleatrochemical therapy. Among them, 87 cases were esophageal carcinoma; 13 cases were cardiac carcinoma. Radiographic examination showed that the case's number of lesions located in the upper, middle esophagus and in the cardiac was 15, 45, 27 and 13 respectively. The length of lesions was3.0 to 5.0 cm in 25 cases, 5.1 to 7.0cm in 50 cases, 7.1 to 9.0cm in 19 cases, over 9cm in 6 cases. Among 87 cases with esophageal carcinoma, medullary type, constrictive type. umbrella type and ulcerative type were in 47, 29, 8.3 cases respectirely. The 13 cases with cardiac carcinoma were not classified. In this group, 78 cases were squanous carcinoma and 22 cases adernocarcinoma. 25 cases were in stage Ⅰ(T_1N_0M_0) or Ⅱ(T_2N_0M_0), 69 cases in stage Ⅲ(T_3N_1M_0), 6 cases in stage Ⅳ period(T_1N_2M_1). All cases had symptom of dysphagia. According to UICC criteria, 15 cases obtained completed remission(CR), 59 cases obtained partial remission(PR). The total response rate was 75%. In 57 cases followed up for 24 monthsm, the survival time was 13 to 24 months.
出处
《实用肿瘤杂志》
CAS
北大核心
1996年第2期63-65,共3页
Journal of Practical Oncology
关键词
食管肿瘤
胃肿瘤
电化学疗法
临床分析
esophageal neoplasm/therapy stomach neoplasms/therapy electrotherapy squamous cell carcinoma adenocarcinoma