近年来，食管胃交界部腺癌的发病率显著升高，越来越受临床关注。对其治疗除了需要考虑肿瘤的TNM分期、病理类型等相关因素外，还必须格外注意肿瘤所在部位，不同部位肿瘤转移的主要方向存在差别，可能向胸腔或腹腔转移，也可能同时涉及到胸腔与腹腔，手术切除的范围也应有相应的偏重。对不同部位的食管胃交界部腺癌，应根据术前诊断，选择合理的手术入路、切除范围、重建方式以及辅助治疗等。

Surgical treatment of adenocarcinoma of esophagogastric junction        LI Guo-li, MAO Qi. Department of Surgery, Jinling Hospital,Nanjing University School of  Medicine,Nanjing 210002,China
Corresponding author: LI Guo-li, E-mail:drguoli@yahoo.com.cn
Abstract    Recently adenocarcinoma of esophagogastric junction has attracted extensive attention for the significant increasing of its incidence. Besides tumour nodemetastasis (TNM) stage and histological subtype, more attention should be paid to the localization of the tumour, which mainly affects the direction of neoplasm metastasis ---to thoracic cavity, abdomen cavity, or both of them involved. The extent of ectomy should also be influenced by the metastatic direction.To adenocarcinomas of esophagogastric junction of different localization, the surgeons should take advisable operative approach, excisional scope, reconstructive style and adjunctive therapy according to preoperative diagnosis.