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Esophageal endocrine cell carcinoma: a report of eight cases and a review of the literature

机译:食管内分泌细胞癌:八例报告并文献复习

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摘要

Esophageal endocrine cell carcinoma is a rare histopathological type thought to be highly malignant and to have a poor prognosis, but its clinical behavior has not been fully analyzed. We retrospectively reviewed our cases among 386 patients with esophageal cancer in our institution. Eight patients (2.1 %) were pathologically diagnosed with endocrine cell carcinoma. Median patient age was 63 years, and the male-to-female ratio was 7:1. Cancer stage according to the Japanese Classification of Esophageal Cancer (JCEC) 10th edition, was stage II in one case, III in three, IVa in one, and IVb in three. Chromogranin-A staining was positive in six cases, synaptophysin in six, cluster of differentiation (CD)56 in seven, and neuron-specific enolase (NSE) in seven. Treatment included surgery in two cases, chemoradiotherapy in four, best-supportive case in one, and rejection in one. Prognoses were 13 months after surgery for stage II, 6-28 months after chemoradiotherapy for stage III, and 0-10 months for stage IV.
机译:食管内分泌细胞癌是一种罕见的组织病理学类型,被认为是高度恶性且预后较差,但其临床行为尚未得到充分分析。我们回顾性回顾了我院386例食管癌患者中的病例。经病理学诊断为内分泌细胞癌的有8例(2.1%)。患者年龄中位数为63岁,男女比例为7:1。根据日本《食管癌分类》(JCEC)第10版,癌症分期为II例,III例,三例,IVa例,IVb例。嗜铬粒蛋白-A染色阳性6例,突触素阳性6例,分化簇(CD)56阳性7例,神经元特异性烯醇化酶(NSE)阳性7例。治疗包括手术2例,放化疗4例,最佳支持1例,排斥反应1例。 II期手术后13个月,III期放化疗后6-28个月,IV期0-10个月。

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