首都医科大学学报 ›› 2018, Vol. 39 ›› Issue (5): 680-684.doi: 10.3969/j.issn.1006-7795.2018.05.011

• 消化道早癌 • 上一篇    下一篇

胃食管早期多原发肿瘤12例分析

王沧海, 吴静, 刘红, 刘揆亮, 宿慧, 魏南   

  1. 首都科医科大学附属北京世纪坛医院消化内科 首都医科大学消化病学系, 北京 100038
  • 收稿日期:2018-07-31 出版日期:2018-09-21 发布日期:2018-10-20
  • 通讯作者: 吴静 E-mail:wujing36@163.com
  • 基金资助:
    首都卫生发展科研专项项目(2016-1-2022)。

Clinical features of 12 multifocal gastroesophageal neoplasms

Wang Canghai, Wu Jing, Liu Hong, Liu Kuiliang, Su Hui, Wei Nan   

  1. Department of Gastroenterology, Beijing Shijitan Hospital, Capital Medical University;Faculty of Gastroenterology of Capital Medical University, Beijing 100038, China
  • Received:2018-07-31 Online:2018-09-21 Published:2018-10-20
  • Supported by:
    This study was supported by Capital Health Research and Development of Special(2016-1-2022).

摘要: 目的 探讨胃食管多原发肿瘤的临床特点、治疗及预后。方法 分析首都科医科大学附属北京世纪坛医院近十年来胃镜检查发现的胃食管多原发肿瘤患者,分析其临床及内镜下特征和手术方式。结果 本院10年来胃镜下诊断胃肿瘤患者358例,食管癌患者201例,其中单发胃食管早癌患者68例,胃食管多原发肿瘤病例共12人,其中同时多原发肿瘤9例,异时多原发肿瘤3例。术前漏诊2例,均为Ⅱb型病变。结论 多原发胃食管肿瘤,尤其是副病灶多为早期肿瘤,内镜容易漏诊,应加强应用放大内镜、内镜窄带成像术(narrow band imaging,NBI)及化学染色方法,避免漏诊,提高患者生存率。

关键词: 胃食管肿瘤, 多原发, 临床特点

Abstract: Objective To study the clinical features of the patients with multifocal gastroesophageal neoplasms. Methods Analysis the patients with multifocal gastroesophageal neoplasms who were treated in our hospital from 2008 to 2018. Results Twelve patients were diagnosed with multifocal gastroesophageal neoplasms, with nine synchronous carcinoma and three metachronous carcinoma. Two patients with synchronous caricinoma were missed with endoscopy. Conclusion The accessory lesion of gastroesophageal was always early gastric cancer, which was prone to missed diagnosis. It's important to use narrow band imaging (NBI), magnify and chemical dying to avoid missed diagnosis.

Key words: gastroesophageal neoplasms, multifocal, clinical features

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