摘要
目的探讨食管癌合并脉管瘤栓患者的临床病理特点。方法回顾性分析535例食管癌患者的病理资料及临床特点。结果 535例食管癌患者中有125例发现脉管瘤栓。肿瘤低分化较高分化更易发生脉管瘤栓,差异具有显著性(P<0.01);肿瘤浸润深度越深,淋巴结转移数目越多,脉管瘤栓发生率越高,差异具有显著性(P<0.01)。单因素分析结果显示,脉管瘤栓、肿瘤分化程度、肿瘤浸润深度、淋巴结分期均对患者预后有影响(P<0.01)。结论食管癌发生脉管瘤栓与肿瘤的分化程度、浸润深度及淋巴结转移数目有关。脉管瘤栓是影响食管癌患者预后的危险因素。
Objective To investigate the clinicopathological characteristics of esophageal carcinoma complicated with vascular tumor embolus. Methods The pathological data and clinical features of 535 patients with esophageal carcinoma were retrospectively analyzed. Results There were 125 cases of vascular tumor embolus among 535 cases of esophageal carcinoma. Vascular tumor embolus was more likely to occur in poorly differentiated tumors than in highly differentiated tumors,and the difference was statistically significant（P〈0.01）. The occurrence of vascular tumor embolus was closely related to the depth of tumor invasion and the number of lymph node metastasis,with statistical significance（P〈0.01）. Univariate regression analysis showed that vascular tumor embolus,degree of tumor differentiation,depth of invasion and lymph node staging were prognostic factors of patients with esophageal carcinoma（P〈0.01）. Conclusion There exists relationship of vascular tumor embolus with the degree of tumor differentiation,depth of invasion and number of lymph node metastasis in esophageal carcinoma. Vascular tumor embolus is a risk factor for prognosis of esophageal carcinoma.
出处
《外科研究与新技术》
2016年第2期108-110,共3页
Surgical Research and New Technique
关键词
食管癌
脉管瘤栓
预后
Esophageal carcinoma
Vascular tumor embolus
Prognosis
