中国贲门癌流行概况 - 中华普通外科学文献.pdfVIP

· 1 5 6 · 中华普通外科学文献（电子版）2014 年 4 月第 8 卷第 2 期 Chin Arch Gen Surg（Electronic Edition)，April 2014，Vol.8，No.2 ·调查统计 · 中国贲门癌流行概况 彭侠彪　陈万青　陈志峰　梁智恒　欧志雄　魏矿荣 　　 【摘要】　国内现有贲门癌流行病学资料甚少，且主要为食管胃癌高发区资料；贲门癌多发 于食管胃癌高发区，但流行趋势与食管胃癌相反；由于定义、诊断和编码等问题，缺乏贲门解剖 部位所发生癌症流行病学资料；与食管胃癌相比，贲门癌可能病因不同。本文系统回顾了现有资料， 对国内贲门癌的地域分布、发病水平、性别年龄、流行趋势和发病因素展开描述。 　　 【关键词】　贲门癌；流行；中国 Epidemiology of gastric cardia cancer in China Peng Xiabiao*, Chen Wanqing, Chen Zhifeng, Liang Zhiheng, Ou Zhixiong, Wei Kuangrong. *Digestive internal department of Zhongshan Peoples Hospital, Zhongshan 528400, China Corresponding author: Wei Kuangrong, Email: weikr@ 　　【Abstract】　All current data available about epidemiology of gastric cardia cancer in China were reviewed thoroughly. It was found that few data existed, and mainly came from high incidence areas of Chinese esophageal and stomach cancer. Compared with the overall decline of esophageal and stomach cancer, the trend of gastric cardia cancer has been increasing. The real epidemiological data is hard to obtain as of such problems as definition, diagnosis and code; its etiology may be different from that of esophageal and stomach cancer. Based on the collected data, this paper is a general description of the distribution area, popularity, sex and gender preference, trend and etiology of gastric cardia cancer. 　　【Key words】　Gastric cardia neoplasm; Epidemiology; China 近年国外贲门癌发病明显上升 [1-2] ，对居民生 个部位的癌症 [11] 。由于食管下端、贲门和远端胃 命健康危害较大。国内胃癌发病虽然总体下降， 癌病理类型基本上为腺癌，故常被称为食管、贲 但贲门癌发病却上升，且渐占胃癌发病大多数 [3-6] 。 门和远端胃腺癌，而食管胃交界癌常被称为食管 为给贲门癌防治和病因研究提供科学依据，本文 胃交界腺癌。又由于部位邻近，晚期常相互浸润 系统回顾了国内贲门癌流行概况。 以至难区分起源，诊治上又无太大区别 [12] ，故临 一、贲门癌定义 床常统称为食管胃交界癌 [7] ，而食管胃交界腺癌常 贲门癌定义存在分歧 [7-8] ，因而分析其流行概 泛称为贲门癌 [13] 。