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71岁、女性白人。因腹痛和便秘入院。三年前,患者因子宫内膜Ⅰ期2级腺癌作经腹子宫切除术和双侧输卵管卵巢切除术及盆腔放疗。病检50%子宫肌层穿透和淋巴转移。上消化道钡餐检查正常,但有横结肠和腹膜后淋巴结转移。用阿霉素,5-Fu和环磷酰胺治疗。6个月后,食道X线复查,发现食道中段向心性狭窄,食道粘膜完整。内窥镜活检阴性。活检后3个月发现吞咽困难,并进行性加重。X线复查可见食道狭窄程度加重,并在原狭窄部有溃疡。内窥镜活检为腺癌,组织学证实为子宫内膜癌转移。胸部CT检查未见纵隔淋巴结肿大。
71 years old, female Caucasian. Due to abdominal pain and constipation admission. Three years ago, patients due to endometrial grade 2 adenocarcinoma for abdominal hysterectomy and bilateral salpingo-oophorectomy and pelvic radiotherapy. Sick 50% myometrial penetration and lymphatic metastasis. Upper gastrointestinal barium meal examination was normal, but with transverse colon and retroperitoneal lymph node metastases. Treatment with doxorubicin, 5-Fu and cyclophosphamide. Six months later, esophageal X-ray review found that the central esophageal stricture, esophageal mucosal integrity. Endoscopy biopsy negative. 3 months after the biopsy found dysphagia, and progressive increase. X-ray examination showed esophageal stenosis increased, and ulcers in the original stenosis. Endoscopic biopsy was adenocarcinoma, histologically confirmed as endometrial cancer metastasis. Chest CT showed no mediastinal lymph nodes.