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目的：探讨以颈根部气管食管旁肿块为首发表现的食管癌的诊断和治疗。方法：收集我科１９９２～１９９９年收治的上述食管癌患者１１例，对其临床病史、影像学及病理资料进行回顾性分析。结果：上述病例中，皆伴有声嘶，８例吞咽困难不明显；ＣＴ检查有其特征性改变；内窥镜检查为首选查找原发灶的方法；对只有单个颈根部气管食管旁淋巴结转移，原发灶情况尚可的胸段食管癌，建议选择包括手术治疗在内的综合治疗。结论：胸段食管瘤单发性颈根部气管旁淋巴结转移，可认为是区域淋巴结转移，若能及时诊断，这类病例有可能得到根治性治疗。
Objective: To investigate the diagnosis and treatment of esophageal cancer with the first manifestation of the paratracheal esophageal mass at the cervical root. METHODS: Eleven patients with esophageal cancer who were admitted to our department from 1992 to 1999 were retrospectively analyzed for their clinical history, imaging, and pathological data. Results: Among the above cases, all were associated with hoarseness, 8 cases had no obvious difficulty in swallowing; CT examination had characteristic changes; endoscopy was the preferred method to find primary lesions; paratracheal lymph node metastasis was only found in single root of the neck. Thoracic esophageal cancer with acceptable primary tumors is recommended, and comprehensive treatment including surgery is recommended. Conclusion: The paratracheal lymph node metastasis in the cervix of esophageal tumor of the thoracic esophagus can be considered as regional lymph node metastasis. If it can be timely diagnosed, these cases may be treated with radical treatment.