食管癌伴巨大颈部淋巴结转移1例
Esophageal cancer complicated with extensive cervical lymph node metastasis:a case report
王倩倩 1邹孔桢 1张小雨 1林萍萍2
作者信息
- 1. 067000 承德,承德医学院研究生学院
- 2. 067020 承德,承德医学院附属医院肿瘤科
- 折叠
摘要
多种良恶性肿瘤均可能出现颈部肿物,在既没有其他系统症状又没有病理活组织检查的情况下难以做出正确诊断,容易贻误最佳治疗时机.以巨大颈部淋巴结转移伴疼痛为首发症状的食管癌患者较为少见.该文报道 1 例以巨大颈部淋巴结转移为首发表现的食管癌患者,患者接受多线治疗方案,病情虽反复进展,但仍达到了 33 个月的较长生存期.该文对食管癌伴巨大颈部淋巴结转移患者的临床表现、诊疗过程及预后进行报道,以期提高临床医师对食管癌淋巴结转移的认识水平,提高该病首诊率并及早治疗,使患者获得较高生活质量及更长生存期.
Abstract
Cervical tumors may occur in a variety of benign and malignant tumors.It is difficult to make a correct diagnosis in the absence of other systemic symptoms and pathological biopsy,which is likely to delay the optimal treatment opportunity.Patients diagnosed with esophageal cancer presenting with extensive cervical lymph node metastasis accompanied by pain as the initial symptom have been rarely reported in clinical practice.In the present study,a case of esophageal cancer presenting with extensive cervical lymph node metastasis as the initial manifestation was reported.The patient received multi-line treatment.Despite repeated disease progression,the patient obtained 33-month survival.In this article,clinical manifestations,diagnosis and treatment process and prognosis of this patient were reported,aiming to deepen the understanding of lymph node metastasis of esophageal cancer,improve the first visit rate,deliver early treatment,thereby obtain higher quality of life and longer survival.
关键词
食管癌/颈部淋巴结转移/诊断/治疗/生活质量/生存期Key words
Esophageal cancer/Cervical lymph node metastasis/Diagnosis/Treatment/Quality of life/Survival引用本文复制引用
基金项目
河北省自然科学基金(H2021406013)
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据