NECK ULTRASONOGRAPHY FOR THORACIC ESOPHAGEAL-CARCINOMA
NECK ULTRASONOGRAPHY FOR THORACIC ESOPHAGEAL-CARCINOMA
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DOI：
10.1016/0003-4975(94)91352-8
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发表时间：
1994-05-01
影响因子：
4.6
通讯作者：
YAMAGUCHI, H
中科院分区：
文献类型：
--
作者：
TACHIMORI, Y;KATO, H;YAMAGUCHI, H
目的：探讨超声对胸内食管癌颈淋巴结转移的诊断价值。209例患者中26例触诊发现颈部淋巴结阳性。在83例未触及淋巴结的患者中，超声诊断颈部淋巴结转移的敏感性为78.9%，准确性为94.0%。超声检查对胸内食管癌患者颈部淋巴结转移有一定的诊断价值。16例经超声检查发现颈部淋巴结阳性的患者行食管切除术和颈淋巴结清扫术，中位生存期为26个月（3 ~ 70个月），3年生存率为43.8%。12例可触及颈部淋巴结患者的术后生存曲线与16例超声检查阳性颈部淋巴结患者的术后生存曲线有显著性差异。对于触诊无阳性淋巴结的胸内食管癌患者，我们认为即使超声检查发现颈部淋巴结阳性，也不能排除手术治疗，建议进行颈淋巴结清扫术。
The value of ultrasonography for detecting positive cervical lymph nodes in patients with intrathoracic esophageal carcinoma was studied. Positive cervical lymph nodes were detected by palpation in 26 of 209 patients. In 83 patients without palpable nodes, the sensitivity and the accuracy of ultrasonography for cervical lymph node metastases were 78.9% and 94.0%, respectively. Ultrasonography was useful for detecting positive cervical nodes in patients with intrathoracic esophageal carcinoma. For the 16 patients with positive cervical nodes detected by ultrasonography who underwent esophagectomy and neck lymph node dissection, the median survival was 26 months (range, 3 to 70 months), and the 3-year survival rate was 43.8%. There was a significant difference between the postoperative survival curves of the 12 patients with palpable cervical nodes and that of the 16 patients with positive cervical nodes detected by ultrasonography. In patients with intrathoracic esophageal carcinoma in whom palpation reveals no positive nodes,we believe that even if positive cervical nodes are revealed by ultrasonography, surgical intervention cannot be ruled out, and neck lymph node dissection is recommended for cure.