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例1女性,63岁。上腹部及咽部不适伴进食哽咽感1个月。胃镜示:距门齿32~35 cm食管6点处黏膜破坏,中心溃烂,边缘隆起,边界不清(图1)。活检病理示:高分化鳞状细胞癌。行食管癌根治术,术后病理诊断为食管碰撞癌,髓质型,肿瘤2 cm×2 cm×1 cm。高分化鳞状细胞癌约占食管腔面的1/3,下方小细胞癌(神经内分泌癌,G3)约占2/3,浸润深肌层,两端切缘未见癌,食管床及隆突下淋巴结未见转移癌。术后采用足叶乙甙100 mg/m2第1~3天,顺铂75
Example 1 Female, 63 years old. Upper abdomen and throat discomfort with eating choking sensation 1 month. Gastroscopy: from the incisors 32 ~ 35 cm esophageal mucosal damage at 6:00, the center ulceration, the edge of the uplift, the border is not clear (Figure 1). Biopsy pathology: well-differentiated squamous cell carcinoma. Radical esophageal cancer surgery, pathological diagnosis of esophageal cancer, medullary, tumor 2 cm × 2 cm × 1 cm. Highly differentiated squamous cell carcinoma accounts for about 1/3 of the esophageal cavity surface, and the small cell carcinoma (neuroendocrine carcinoma, G3) is about 2/3 below. Subclavian lymph node metastasis did not see cancer. Postoperative use of etoposide 100 mg / m2 1 to 3 days, cisplatin 75