CAJ | 학술논문

目的观察食管基底细胞样鳞癌的临床和病理组织学特征,探讨其诊断、鉴别诊断及治疗方法.方法对23例食管基底细胞样鳞癌患者的临床和病理资料进行回顾性分析.结果食管基底细胞样鳞癌发病年龄较大,临床表现和影像学特点与鳞癌相似,以溃疡型多见;治疗首选手术,术后应结合放化疗.本组23例食管基底细胞样鳞癌患者的1、2和3年生存率分别为60.9%、21.7%和0.结论食管基底细胞样鳞癌具有恶性程度高、进展快、转移早和预后差等特点,临床上应采用根治性手术并结合术后放化疗的治疗方案.
목적 관찰식관기저세포양린암적림상화병리조직학특정,탐토기진단、감별진단급치료방법.방법 대23례식관기저세포양린암환자적림상화병리자료진행회고성분석.결과 식관기저세포양린암발병년령교대,림상표현화영상학특점여린암상사,이궤양형다견;치료수선수술,술후응결합방화료.본조23례식관기저세포양린암환자적1、2화3년생존솔분별위60.9%、21.7%화0.결론 식관기저세포양린암구유악성정도고、진전쾌、전이조화예후차등특점,림상상응채용근치성수술병결합술후방화료적치료방안.
Objective To investigate the histopathological features of basaloid squamous cell carcinoma of the esophagus, and to explore the ways of its diagnosis, differential diagnosis and treatment. Methods The clinical data and pathological features of 23 cases of esophageal basaloid squamous cell carcinoma were reviewed and analyzed retrospectively. Results The tumors were mainly located at the middle third segment of the esophagus. The 1-,2- and 3-year survival rates were 60.9%, 21.7% and 0, respectively. Conclusion The basaloid squamous cell carcinoma of the esophagus is highly malignant with poor prognosis. Radical resection combined with radiotherapy and chemotherapy is required.