摘要
复习７０例食管癌术后胸内转移或复发的ＣＴ扫描所见，并与同期食管钡餐造影对比。临床症状包括声嘶３６例，胸痛、咳嗽、咯血、气短各１５例，吞咽不畅１１例，无明显症状８例（１１．４％）。复发时间为２～９４个月，中位时间１２个月。ＣＴ扫描示纵隔及锁骨上淋巴结受侵。分别为６１例（８７．１％）及２８例（４０％）。长径１１～２０ｍｍ者１５例，＞２０ｍｍ者４６例。位于上部气管右旁（２Ｒ区）４９例（８０．３％），上部气管左旁（２Ｌ区）２６例（４２．６％），隆突下（７区）２３例（３７．７％）。气管及支气管受侵１８例。消化道复发８例，其中吻合口复发５例，残段食管癌１例，胸胃受侵２例，５９例曾行食管造影，残段食管受压２１例，吻合口复发５例，胸胃受侵２例，残段食管癌１例，食管造影假阴性３３例（５５．９％）。ＣＴ扫描及食管造影均应作为食管癌术后随诊的常规检查方法。
The CT scans of 70 cases of intrathoracic recurrences or metastasis after surgical re-section of esophageal carcinoma were reviewed, and correlated with barium meal study,Clinical symp-toms included hoarseness of voice(n=36),chest pain, cough, bloody sputum,dyspnea(n=15 each),dysphagia(n=11).8 cases had no remarkable symptoms. The interval between resection and recur- rence was 2 months to 94 months(median 12 months).The CT findings included mediastinal adenopa-thy(n=61, 87.1%),supraclavicular adenopathy(n=28, 40%).The long dimension of enlarged lymph node was 11～20mm(n=15),>20mm (n= 46). The location of adenopathy was mostly found in right upper paratracheal (2R,n=49, 80.3%), left upper paratracheal region (2L,n=26, 42.6%)and subcarinal region(7,n=23, 37.7%). Invasion of the bronchus was found in 18 cases. Recur-renece of upper GI tract including esophagogastric anastomoses(n=5)esophageal stump(n=1) and intrathoracic stomach(n= 2) occurred in 8 cases. 59 cases had barium meal esophagography,with false negative results in 33 cases(55.9%) Recurrences of esophagogastric anastomoses,esophageal stumpand intrathoracic stomach were easily demonstrable while adenopathy could be only manifested as de-pression or displacement of GI tract. Both CT scanning and esophagography are recommended after sur-gical resection of esophageal carcinoma. Since lymph node metastases occur most frequently, CT scan-ning is mandatory as a follow-up examination.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
1995年第9期608-611,共4页
Chinese Journal of Radiology
关键词
食管肿瘤
手术后
CT
随诊
肿瘤转移
Esophageal tumor Surgical resection,Digesitve sysmtem Tomography, X-ray computed
