食管癌临床分期现状.pdfVIP

∋ 224∋ 2011 1 17 2M e icalR ecapitulate, Jan 2011, Vo.l 17, No. 2 汤忠明 (), 陈志坚 ( ) (, 515041) : R735. 1 : A :( 2011) :食管癌治疗方式的选择主要是根据其临床分期, 现有的影像技术如计算机体 摄影食管 56% ~ 腔内超声磁共振成像正电子发射型计算机断 显像等为食管癌的临床分期提供强有力的参考, 但 69%, 40%~ 90%, 因其自身的局限性未能获得 100% 准确的分期, 合理的组合有可能提高准确度三维重建食管腔内 43%~ 68% 超声引导下细针穿刺技术以及胸腹腔镜技术的应用也为食管癌临床精确分期提供有益的补充 : 食管肿瘤; 肿瘤分期; 影像诊断; 腔镜技术 CT , , CTT The Current Situation of Clin ical Staging ofE sophageal Cancer TAN G Zh ong m ing, CH EN Zh ij ian. 1 (D ep artm en t of Rad ia tion On cology, CancerH o p ital of Shan tou Un iv er ity M ed ica l C ollege Shan tou, S han tou T 2 515041, China) Abstract:H ow to choose the therapy m etho s of esophageal carcinom a is accor ing to the level of clini T , 3 cal staging. The existing mi aging techniques such as com pute tomography, en oscopic esophageal ultra , soun , m agnetic resonance mi ag ing, positron em ission com pute tom ography, etc. can provi e a pow erful reference for the clinical stag ing of esophageal carcinom a, but ifficult to m eet the 100% accurate staging [ 67] , CT because of their lmi itations. Reasonable combination may mi prove accuracy. In a ition, the reliability of clin TNM , T ical staging in esophageal carcinom a is mi prove by the application of three mi ensional reconstruction; EUS 1 gui e fine nee le aspiration technique, thoracosc