oncology - esophageal ca
TRANSCRIPT
-
7/30/2019 Oncology - Esophageal Ca
1/18
14- , 2-5% . 2004
7124, 75,4% . 2003 66,7%.
,( 6,8 6,7 100 . ),
-
7/30/2019 Oncology - Esophageal Ca
2/18
1. (15.0):
(
), 18 .
2. )(15.3),
24 ;
)(15.4)
-.
32;
)(15.5) 8
()
-.
40 .
-
7/30/2019 Oncology - Esophageal Ca
3/18
, ;
,, .
-
7/30/2019 Oncology - Esophageal Ca
4/18
-
7/30/2019 Oncology - Esophageal Ca
5/18
-
7/30/2019 Oncology - Esophageal Ca
6/18
; ; ,
( 8 ); (skip metastasis) , 30% , 23% .
-
7/30/2019 Oncology - Esophageal Ca
7/18
, : , ; , ;
,
-
7/30/2019 Oncology - Esophageal Ca
8/18
TNM (6- , 2002 .)
-
0 Tis (Carcinoma in
situ)1
2
3
4
0 1
1 1b 1 1b 1 1b
N N N0 N1
-
7/30/2019 Oncology - Esophageal Ca
9/18
:
-
7/30/2019 Oncology - Esophageal Ca
10/18
+ :192 , 3 33+ :5-
10% ( 9%)(EORTC,1982 )
+: 85% 70%,
: 130 60 +(-)5Fu/mitomicin-C. 2- 30% 12%, 14,9. 9,0 . (ECOG,1990)
: 1- 18%, 5- 6%(Fisher SA, Brady LW. Esophagus. In: Perez CA, Brady LW, eds. Principlesand practice of radiation oncology,3rd ed.,1998)
-
7/30/2019 Oncology - Esophageal Ca
11/18
5-
6( 8) , 18-20.
, (, ,), 60-70, 46-
50.
-
7/30/2019 Oncology - Esophageal Ca
12/18
,
-
7/30/2019 Oncology - Esophageal Ca
13/18
-
7/30/2019 Oncology - Esophageal Ca
14/18
-
7/30/2019 Oncology - Esophageal Ca
15/18
-
7/30/2019 Oncology - Esophageal Ca
16/18
.
-
7/30/2019 Oncology - Esophageal Ca
17/18
.
-
7/30/2019 Oncology - Esophageal Ca
18/18
:
a) ;b) , 9;c) , 4