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临床资料患者,男,62岁。因“进行性吞咽困难半年”入院。病程中无胸闷、气促、咳嗽、咯痰。既往吸烟300年支,戒烟10年。胸部增强CT示:食管胸中段管壁环状增厚,双肺及各级支气管未见异常(图1a,1b)。胃镜示:距门齿25~33 cm食管黏膜散在糜烂、结节样改变(图1c),活检为鳞状细胞癌。纤维支气管镜检查发现:右肺上叶支气管内后壁浸润性新生物,累及右肺上叶前段支气管及后段支气管管腔(图1d),活检为鳞状上皮重度异型
Patients with clinical data, male, 62 years old. Due to “progressive dysphagia six months ” admission. No chest tightness in the course of the disease, shortness of breath, cough, expectoration. Past 300 years of smoking cigarettes, quit smoking for 10 years. Chest enhanced CT showed: ring thoracic esophageal thoracic thickening of the lungs and bronchi at all levels showed no abnormalities (Figure 1a, 1b). Gastroscopy showed: from the incisors 25 ~ 33 cm esophageal mucosa scattered erosion, nodular changes (Figure 1c), biopsy of squamous cell carcinoma. Fiberoptic bronchoscopy found that the infratentorial posterior wall of the upper lobe of the right lung infiltrated new organisms that involved the bronchus of the anterior superior lobe of the right lung and the bronchial lumen of the posterior segment of the bronchus (Fig. 1d), biopsy was severe dysplasia of the squamous epithelium