CAJ | 학술논문

目的探讨超声内镜联合超声微探头对早期食管浅表癌浸润深度和淋巴结转移的判断及其临床意义.方法联合应用超声内镜和超声微探头对121例共124处早期浅表型食管癌病灶行临床分期,并与术后及黏膜切除后病理分期相比较.结果内镜超声检查对早期食管癌术前T分期总的准确率为82.3%(102/124).本组早期食管癌淋巴结总的转移率为5.0%(6/121),其中原位无一例淋巴结转移,黏膜内癌淋巴结转移率为1.3%(1/78),黏膜下癌淋巴结转移率为11.6%(5/43).结论联合使用超声内镜及超声微探头对早期食管癌可以进行准确的分期,可以指导早期食管癌治疗策略的选择.
목적 탐토초성내경연합초성미탐두대조기식관천표암침윤심도화림파결전이적판단급기림상의의.방법 연합응용초성내경화초성미탐두대121례공124처조기천표형식관암병조행림상분기,병여술후급점막절제후병리분기상비교.결과 내경초성검사대조기식관암술전T분기총적준학솔위82.3%(102/124).본조조기식관암림파결총적전이솔위5.0%(6/121),기중원위무일례림파결전이,점막내암림파결전이솔위1.3%(1/78),점막하암림파결전이솔위11.6%(5/43).결론 연합사용초성내경급초성미탐두대조기식관암가이진행준학적분기,가이지도조기식관암치료책략적선택.
Objective To assess the clinical value of endoscopic uhrasonography(EUS)combined with the mini-probe endoscopic uhrasonography(MPUS)in determing tumor invasion depth and lymph node metastases of early superficial esophageal cancer.Methods One hundred and twenty-four superficial esophageal cancer lesions of 121 patients were staged by EUS combined with MPUS,and the results were finally compared with pathological findings of surgical specimens or samples obtained by mucosal resection.Results The diagnostic accuracy of EUS in T staging of superficial esophageal cancer was 82.3%(102/124).The total ratio of lymph node metastases was 5.0%(6/121),with no node metastases in carcinoma in situ,1.3%(1/28)in mucosal carcinoma,11.6%(5/43)in submucosal carcinoma.Conclusion EUS combined with MPUS is accurate in staging of the superficial carcinoma,which can help the choice of therapeutic strategies.