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Diagnosis and treatment of EGJ cancer

机译:EGJ癌症的诊断和治疗

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A complicated and special lymph flow is present in esophago-gastric junction (EGJ) tumor, because EGJ is located between thorax and abdomen. In the present study, we retrospectively analyzed the diagnosis, treatment strategy and prognostic factors. From 1986 to 2007, 124 EGJ cancer patients were enrolled this study. The diagnostic accuracy rate by endoscopic ultrasound (EUS) for esophageal invasion and media-stinal nodal metastasis was approximately 80%, respectively. Tumor depth (p<0.05) and nodal involvement (p<0.05) correlated well with patients' survival by univariate analysis. Multivariate analysis showed that only nodal involvement was selected as an independent prognostic factor. Pre-surgical accurate diagnosis for esophageal invasion and lymph node metastasis is essential for determining the surgical strategy for EGJ tumor. Individualized treatment strategy for EGJ cancer will be necessary according to the tumor depth, esophageal invasion and lymph node metastasis.
机译:食道 - 胃接线(EGJ)肿瘤中存在复杂和特殊的淋巴流,因为EGJ位于胸部和腹部之间。 在本研究中,我们回顾性地分析了诊断,治疗策略和预后因素。 从1986年到2007年,124名EGJ癌症患者参加了这项研究。 对食管侵袭和介质 - 星形节点转移的内窥镜超声(EUS)的诊断精度分别为约80%。 肿瘤深度(P <0.05)和节点受累(P <0.05)通过单变量分析与患者的存活率相关。 多变量分析表明,仅选择节点参与作为独立的预后因子。 对食管侵袭和淋巴结转移的前手术准确诊断对于确定EGJ肿瘤的手术策略至关重要。 根据肿瘤深度,食管侵袭和淋巴结转移,需要为EGJ癌进行个性化治疗策略。

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