胸段食管鱗癌淋巴結(jié)轉(zhuǎn)移規(guī)律及影響因素的研究.pdf

1、新疆醫(yī)科大學(xué)碩士學(xué)位論文胸段食管鱗癌淋巴結(jié)轉(zhuǎn)移規(guī)律及影響因素的研究姓名：楊燕君申請(qǐng)學(xué)位級(jí)別：碩士專業(yè)：腫瘤學(xué)指導(dǎo)教師：張國(guó)慶200904新疆醫(yī)科大學(xué)醫(yī)學(xué)碩士學(xué)位新疆醫(yī)科大學(xué)醫(yī)學(xué)碩士學(xué)位—2—ThestudyofthacicsegmentesophagealsquamouscarcinomalymphnodemetastaticpatterninfluentialfactsPostgraduate:YangYanjunSupervis:P

2、rof.ZhangGuoqingAbstractObjective:Toevaluatethepattermsoflymphnodemetastasesofthacicesophagealsquamouscellcarcinomacrelationfacts.Methods:Theclinicopathologicfactsfollowupdataof190casesofthacicesophagealsquamouscellcarci

3、nomaaftersurgicaltreatmentfromJan12005toDec312006wereretrospectivelyanalyzedbyunivariatemultivariatemethods.Results:Lymphnodemetastaseswerefoundin94ofthe190patients(49.47%)skipmetastasesofthelymphnodesin5patients(2.63%).

4、In3275lymphnodesdesectedmetastaseswereidentifiedin302lymphnodes(9.22%).Eachsegments(upperdleinferisegment)cancersratefcervicalthaxthaxmediastinalceliaclymphnodesis27.78%14.41%9.26%22.22%30.51%44.44%5.56%16.95%50.00%.Usin

5、gχ2testwecanseethemetastasistendedcyofeachsegmentsareobviouslydifferentviztheuppersegmstendencyislocalcervicalthaxthedlesislocalbilateralinferisegmentstendencyislocalabdomentheregionoflymphnodesmetastasiscrelatewithtumsp

6、osition.Univariateanalysisshowedthattumlocationtuminvasionhistologicaldifferentiationweresignificantlyassociatedwithlymphnodemetastasis.Multivariateanalysisshowedthattuminvasionhistologicaldifferentiationwereprognosticfa

7、ctsflymphnodemetastasis.Conclusions:Becauseoftheupwarddownwardskipmetastasisofthacicesophagealsquamouscellcarcinomatothelymphnodestheoperablepatientswiththacicesophaguscarcinomashouldreceiverasicaldesectionofthelymphnode