頁籤選單縮合
題 名 | Bronchial Recurrence after Resection of Carcinoma of the Esophagus=食道癌術後的支氣管復發 |
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作 者 | 許宏基; 黃敏雄; 乾光宇; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 21:4 1988.07[民77.07] |
頁 次 | 頁456-461 |
分類號 | 416.216 |
關鍵詞 | 食道癌術後; 支氣管復發; |
語 文 | 英文(English) |
中文摘要 | 食道癌是相當惡性的全身性癌病,大部份的病例在初次診斷時已無法以外科切除來根治。本院有十四例食道癌患者於手術切除後產生支氣管的局部復發。 從1981年到1985年榮民總院胸腔外科共有564例食道癌病患。能夠接受外料手術者有269例(50.5%),其中242例可以切除(86.4%)。兩年的存活率為26.4%。產生局部復發的十四例為本文分析的對象。 十四例病人的手術到復發的間隔為18±8.6月。七例於術後因有淋巴結轉移而接受補助化學治療,有一例曾接受放射線治療。有八例存活時間超過兩年。 對於可切除的食道癌,氣管及支氣管可成為視窗來偵測癌病的局部復發。術前及術後的放射線治療是防止局部再發的最好方法。更多的前瞻性研究已在進行中以獲得更肯定的結論。 |
英文摘要 | Carcinoma of the esophagus is a systemic disease, most cases of which are not surgically curable at the time of diagnosis. Localrecurrence over the tracheobronchial tree after resection was observed in 14 of our patients. From 1981 to 1985, there were 564 cases of carcinoma of the esophagus appearing at Veterans General Hospital, Taipei. Among them, 269.(50.5%) were operable, and of these 242 had resectable tumors (86.4%). The two-year survival rate was 26.4%. We also evaluated fourteen local recurrences over the airway. In these 14 patients, the average disease free interval was 18±8.6 months. Seven cases received adjuvant chemotherapy due to evidence of lymph node metastasis. Only one patient received radiotherapy. Eight cases survived longer than 2 years. The tracheobronchial tree can serve as a window for local recurrence of resectable carcinoma of the esophagus. Preoperative and postoperative radiotherapy is the treatment of choice in preventing local recurrence. A prospective study was indicated and is currently being carried on. |
本系統中英文摘要資訊取自各篇刊載內容。