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食管癌以鳞癌最常见,其次为腺癌,小细胞未分化癌比较少见,本文报告1例。 病人男性,53岁,因进行性吞咽困难2个月,胸骨后针刺样疼痛1个月入院。食管钡剂检查:食管中下段交界处见2.5cm粘膜皱襞不规整,管壁略僵硬。食管镜检查:距门齿31cm,食管腔左前壁见有约3cm×2cm溃汤型肿物,活检诊断食管癌。于1997年12月17日手术,术中所见:食管中段(距主动脉弓约2cm)管壁增厚,长约3cm,肿物无明显外侵。行食管中下段切除,食管胃弓上吻合术。术后病理诊断:食管小细胞未分化癌。术后行DAE方案化疗2次,MCFD方案化疗2次,随访1.5年病人健在。 讨论:食管小细胞未分化癌患者以中老年多见,部位多
Esophageal squamous cell carcinoma is the most common, followed by adenocarcinoma, small cell undifferentiated carcinoma is relatively rare, this article reports 1 case. The patient, male, 53 years old, was admitted for 2 months because of progressive dysphagia and 1 month post-sternal acupuncture-like pain. Esophageal barium examination: see the junction of the lower esophagus 2.5cm mucosal folds irregular, the wall slightly stiff. Esophagoscopy: from the incisors 31cm, see the left anterior esophageal cavity about 3cm × 2cm ulceration type tumor, biopsy diagnosis of esophageal cancer. December 17, 1997 surgery, intraoperative findings: the middle of the esophagus (from the aortic arch about 2cm) wall thickening, about 3cm, the tumor was no significant invasion. Lower esophageal resection, esophageal anastomosis. Postoperative pathological diagnosis: esophageal small cell undifferentiated carcinoma. After 2 DAE regimen chemotherapy, MCFD chemotherapy 2 times, followed up 1.5 years of patients alive. Discussion: esophageal small cell undifferentiated cancer more common in middle-aged and elderly, more sites