查詢結果分析
來源資料
相關文獻
- A Clinical Review of Esophageal Cancer: The First Report from Eastern Taiwan
- p53 Gene Alternation in Squamous Cell Carcinoma of the Esophagus Detected by PCR-Cold SSCP Analysis
- Clinical Application of Ultrasonic Mini-Probes in Esophageal Cancer: The Experience of Ntuh
- 臺東臺灣獼猴自然保護區之植群生態研究
- 顏滄波與東臺灣
- 用GPS檢測東臺灣北回歸線地標
- Bronchial Recurrence after Resection of Carcinoma of the Esophagus
- 食道癌之化學放射治療
- 池上平原文化景觀的空間過程--土地、社群與國家的論述
- 「白頭待映天山雪,青眼留看地史疑」:畢慶昌(1911∼2001)
頁籤選單縮合
題名 | A Clinical Review of Esophageal Cancer: The First Report from Eastern Taiwan=食道癌之臨床回顧:臺灣東部首報 |
---|---|
作者 | 林憲宏; 柯龍吉; 黃呂津; 黃士哲; 蔡伯文; 趙盛豐; 李奕慧; Lin, Hsien-hong; Ker, Long-gee; Huang, Lu-chin; Huang, Shih-che; Tsai, Bo-wen; Chao, Seng-fong; Li, Yi-hwei; |
期刊 | 中華民國消化系醫學雜誌 |
出版日期 | 19971200 |
卷期 | 14:4 1997.12[民86.12] |
頁次 | 頁1-8 |
分類號 | 415.512 |
語文 | eng |
關鍵詞 | 食道癌; 東臺灣; Esophageal cancer; Eastern Taiwan; |
中文摘要 | 食道癌在東臺灣似乎不少見,但並無文獻可查。本研究以東臺灣一區域醫院之住院病人作統計分析,以供參考。7年間計有82例食道癌患者住院,男70例,女12例,平均 62.8歲,作病例分析,並以電話或郵件追蹤。其中閩南人46.0%,原住民36.5%,外省人9.5%,客家人7.9%。原位民之男女比為15/8,而非原住民為 37/3(p < 0.01)。診斷時之症狀有吞嚥困難、體重減輕、胸痛、上腹痛、頸部腫塊、解黑便、吐血、咳嗽、咳血、及黃疸。三位病人之前分別曾罹患舌癌、頰癌、喉癌。84.5% 病人有抽煙病史,47.8% 為飲酒過量者。 病理診斷包括上皮細胞癌93.2%、腺癌 4.1%、 小細胞癌 1.4%、 adenoid cysticcarcinoma 1.4%。5例病人有食道氣管�硎煄C25例病人於住院時已有遠處轉移。50例病人接受手術,包括 44例食道切除及6例胃或食道造瘺術。術後合併症者 51.1%。30 日內死亡率 6.1%。整體之存活率在 1、3、5 年分別為 38.4%、14.3%、9.6%,存活中數為 6.9 月。 1、3、5 年存活率於第二期病人 (74.7%、64.0%、42.7%,存活 63.0月,P=0.005) 及接受食道切除術者(46.8%、30.1%、20.1%,存活 11.2 月,P=0.024) 顯著較高。本研究結果顯示,食道癌中原住民之比例相對於其他族群較高,其原因值得進一步探討。 |
英文摘要 | Esophageal cancer did not seem uncommon in eastern Taiwan, but there were no data available. In order to understand the clinical aspects of esophageal cancer in eastern Taiwan, we reviewed the charts of 82 consecutive cases of esophageal cancer admitted to this hospital in 7years. The average age was 62.8 years. There were 70 male and 12 female patients. The ethnic origin was Taiwanese in 46.0% of cases, aborigines in 36.5%, Mainland Chinese in 9.5%, and Hakka in 7.9%. The male to female ratio was 15/8 in aborigines, and 37/3 in non-aborigines (P<0.01). Symptoms at diagnosis included: dysphagia, weight loss, chest pain, epigastric pain, neck mass, melena, hematemesis, cough, hemoptysis, and jaundice. Three cases had tongue cancer, buccal cancer, and laryngeal cancer prior to the index admission. The majority of cases (84.5%) were cigarette smokers, and 47.8% were alcoholic. Histologic diagnosis included squamous cell carcinoma (93.2%), adenocarcinoma (4.1%), small cell carcinoma (1.4%), and adenoid cystic carcinoma (1.4%). Five cases had esophagotracheal fistula. Distant metastasis was documented in 25 cases on admission. Surgery was performed in 50 cases, including 44 esophagectomies and 6 palliative operations. Postoperative complications were noted in 51.1% of cases. The 30-day operative mortality was 6.1%. The overall survival rate at.], 3, and 5 years was 38.4%, 14.3%, and 9.6% respectively (median survival: 6.9 months). Survival rate was significantly higher for cases with stage II disease and those receiving esophagectomy. In conclusion, the results of this review show that the prevalence of esophageal cancer among aborigines seems to be out of proportion to that among Taiwanese, Chinese, or Hakka, of which the reasons need further investigation. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。