目的：通过对山西省肿瘤医院34例上消化道双原发癌患者的临床病理资料进行回顾性分析，分析山西地区上消化道双原发癌的发病规律、诊治策略和预后因子。方法：收集上消化道双原发癌病例及数据，分析山西地区上消化道双原发癌的相关临床特征。结果：在纳入的1087例消化系统肿瘤患者中，发现双原发癌34例，发生率为3.13％，癌灶均集中于食管、贲门、胃体三大部位。结论：山西地区的上消化道双原发癌有明显的地域集中分布性，早期诊断后施行同期手术，并结合放化疗等综合治疗可明显提高疗效和改善预后。%Objective:By analyzing the clinical pathology data of the 34 patients with upper gastrointestinal multiple pri-mary cancer in Shanxi cancer hospital,the incidence regularity,diagnosis strategies and prognostic factors was studied. Meth-ods:By collecting the patients and conducting the data,the clinical features with upper gastrointestinal multiple primary cancer in Shanxi was discussed. Results:In a total of 1 087 patients with digestive cancers,34 of 1 087(3. 13% )had double primary cancers,and the leading cancer sites were esophagus,cardia and gastric parts. Conclusion:It was found that the upper gastroin-testinal double primary cancer in Shanxi has obvious geographical concentration distribution,and the treatment should be based on radical surgery,combined with the radiotherapy and chemotherapy.
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