oncology - esophageal ca

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    14- , 2-5% . 2004

    7124, 75,4% . 2003 66,7%.

    ,( 6,8 6,7 100 . ),

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    1. (15.0):

    (

    ), 18 .

    2. )(15.3),

    24 ;

    )(15.4)

    -.

    32;

    )(15.5) 8

    ()

    -.

    40 .

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    , ;

    ,, .

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    ; ; ,

    ( 8 ); (skip metastasis) , 30% , 23% .

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    , : , ; , ;

    ,

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    TNM (6- , 2002 .)

    -

    0 Tis (Carcinoma in

    situ)1

    2

    3

    4

    0 1

    1 1b 1 1b 1 1b

    N N N0 N1

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    :

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    + :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)

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    5-

    6( 8) , 18-20.

    , (, ,), 60-70, 46-

    50.

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    ,

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    .

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    .

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    :

    a) ;b) , 9;c) , 4