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右位主动脉弓是少见的先天性畸形,而合并食管癌者更属罕见,现报道1例如下。患者男性,53岁,农民。因胸闷、进食胸骨后不适和隐痛六个月,吞咽困难、逐渐加剧月余等状,于1983年2月7日食管吞钡造影见食管主动脉弓压迹于右侧,食管粘膜于胸5下缘稍粗糙和紊乱,钡剂通过缓慢,长约4cm,诊断右位主动脉弓并中上段食管痛。2月12日行纤维食管镜检,距门齿23～26cm处食管后壁有多个黄豆大至指头大结节状肿物突入管腔,表面充血、水肿、触之易出
The right aortic arch is a rare congenital malformation, and those with esophageal cancer are even rarer. The patient was male, 53 years old, farmer. Due to chest tightness, discomfort after eating sternum, and hidden pain for six months, dysphagia, and gradual exacerbation of more than a month, etc., in February 7, 1983 esophageal swallowing angiography to see esophageal aortic arch press in the right, esophageal mucosa in the lower edge of the chest 5 Slightly rough and disordered, the tincture passed slowly, about 4 cm long, and the right aortic arch was diagnosed with a middle-to-upper esophageal pain. On February 12th, a fiberoptic esophagoscopy was performed. From the incisors 23 to 26cm at the incisors, there were several soy beans on the posterior wall of the esophagus. The large nodular masses protruded into the lumen. The surface was congested, edema, and it was easy to touch.