on the diagnosis and treatment of esophageal cancer（食道癌的诊断和治疗）.docVIP

On the diagnosis and treatment of esophageal cancer [Abstract] Objective To investigate the clinical diagnosis and treatment of esophageal method for the primary surgical treatment of esophageal Conclusions esophageal cancer at the time of diagnosis most patients have been violations of adjacent organs and sub-clinical metastasis, surgery alone is difficult to significantly improve survival rate. is to promote a comprehensive treatment based on surgery, including preoperative radiotherapy, postoperative radiotherapy, preoperative chemotherapy, postoperative chemotherapy and postoperative radiotherapy and chemotherapy. [Keywords] diagnosis and treatment of esophageal cancer Esophageal cancer is a malignant tumor originating in the esophagus to squamous cell carcinoma more common, is a common malignant tumor of the digestive system. North China for the high incidence of esophageal cancer, the incidence rate of 180/10 million. Esophageal cancer a good site for the middle esophagus, about 50%, followed by the next segment, the segment at least according to clinical, X-ray and endoscopic features of early esophageal cancer can be divided into the insidious type, erosive, plaque-type and papillary type. advanced esophageal cancer can be divided into medullary, fungating, ulcerative, narrow-and cavity-type .90% of squamous cell carcinoma, followed by adenocarcinoma, which come from Barrett’s esophagus, accounting for 3.8 % ~ 8.8%. Other types of rare, such as basal cell carcinoma, mucoepidermoid carcinoma, oat cell carcinoma, glandular spine cancer. Esophageal cancer can spread and transfer of the following ways: (1) direct foreign invasion. (2) the proliferation of the esophageal wall, (3) lymph node metastasis, (4) blood transfer. 1 Etiology and pathogenesis. 1.1 nitrosamine compounds is a strong carcinogen, can cause a variety of animal organs of the tumor. High incidence of esophageal cancer found that their drinking water, food (such as sauerkra