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김은균,윤중근,정정명,최하진 인제대학교 1985 仁濟醫學 Vol.6 No.1
1980년부터 1984년까지 인제의대 부산 백병원 내과에 입원한 식도암 환자 66예에 대한 임상적 분석을 시행하고 문헌적 고찰과 함께 보고한다. Esophageal cancer is relatively rare among those of gastrointestinal tract, but is important because the difficulties in early diagnosis and operative therapy make the prognosis of the patients poor. The author assessed the 66 patients of esophageal cancer, including age and sex distribution, symptoms, duration of illness and risk factors, location of cancer, histological type and surgical treatment. The results were as follows: 1.Sex incidence of esophageal cancer revealed male predominance with ratio 15.5:1 and peak age group were 6th and 7th decades. 2.On the majority of patients, typical symptoms of esophageal cancer were manifested such as dysphagia 83.3%, substernal pain 43.9%, epigastric pain 37.9%, weight loss 22.7%, vomiting, hematemesis and/or melena. 3.The duration of illness before admission is relatively short, the duration within 3 months is 55.6%, within 9 months 88.9% of all patients. 4.Esophageal cancer was common in patients with blood type A (40.0%). There was correlation between esophageal cancer and consumption of alcohol and cigarettes. 5.Approximately 52% of esophageal cancer were in the lower one third, 36% in the middle and 12% in the upper one third of esophagus. Among the 66 patients, 52 patients were histologically confirmed as esophageal cancer by endoscopic biopsy, squamous cell carcinoma was observed in 75%, adenocarcinoma 25%. 6.Operation was performed 15% of all patients, in 10.6% curative and in 4.5% palliative operation.
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