中晚期粘膜下食管癌的诊断(附2例报告)

• 作 者: 陆军 张广忖 张洪伟 姚若金 张波 刘健
• 机 构: 第四军医大学西京医院普通胸外科,第四军医大学西京医院普通胸外科,第四军医大学西京医院普通胸外科,第四军医大学西京医院普通胸外科,第四军医大学西京医院普通胸外科,第四军医大学西京医院普通胸外科 西安 7
• 出 处: 陕西医学杂志
• 发表日期: 1996年11期
• 关键词: 纤维食管镜检查 食管中段 移行段 右后壁 钡餐造影 梗阻感 进行性吞咽困难 后外侧开胸 食管肿瘤 压迹

食管癌是我国北方常见病,但中晚期粘膜下食管癌少见,多因误诊而失去适当的治疗机会。我们经治2例,现报告如下。 例1 男,40岁,因进食咽下梗阻感伴进行性加重入院。钡餐造影示食管中段狭窄,后缘呈弧形压迹,两移行段明显,病变处粘膜无破坏。两次行纤维食管镜检查均示距门齿31～34cm处右后壁隆起,表面光滑,粘膜完整,色泽正常,

Esophageal cancer is a common disease in northern China, but submucosal esophageal cancer is rare in middle and late stages, and many of them lose appropriate treatment opportunities due to misdiagnosis. We have treated 2 cases and the report is as follows. Example 1 Male, 40 years old, was hospitalized for increased aggravation due to swallowing obstruction. Barium meal angiography showed that the middle esophagus was narrow, the trailing edge was curved and the two transitional segments were obvious, and the mucosa of the lesion was not damaged. Two rows of fiberoptic esophagoscopy showed that the right posterior wall of 31～34cm of incisors was raised, the surface was smooth, the mucosa was complete, and the color was normal.