不同N1状态对胸段食管鳞癌预后的影响

被引:8
作者
傅剑华
黄伟钊
黄植藩
杨名添
林鹏
龙浩
曾灿光
王欣
王思愚
戎铁华
机构
[1] 中山大学肿瘤防治中心胸外科华南国家肿瘤重点实验室
关键词
食管肿瘤; 淋巴转移; 预后; 肿瘤分期;
D O I
暂无
中图分类号
R686 [筋腱、韧带、滑囊疾病及损伤];
学科分类号
100220 [骨科学];
摘要
目的探讨不同N1状态对胸段食管鳞癌预后的影响。方法连续收治并行根治性切除胸段食管鳞癌的N1病人341例,以淋巴结转移数、转移度、转移区域数等因子进行单因素和多因素分析,探讨其与预后的关系。结果单因素分析显示,淋巴结转移数1~3个与大于3个、淋巴结转移度≤20%与>20%、转移的区域数不同、是否有喉返神经旁淋巴结转移,其1、3、5年生存率差异有统计学意义。但多因素分析显示,仅淋巴结转移的个数对预后有显著影响,P=0.001。结论淋巴结转移数、转移度、转移的区域多少与胸段食管鳞癌病人预后有关,仅淋巴结转移个数是其独立预后因素,转移数大于3个者预后较差。
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