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贲门癌的临床与X线征象与某些贲门部良性疾病颇为相似,容易误诊,我院误诊为贲门癌3例分析报道如下: 例1,女性,57岁,农民。因嗳气、背沉、胸骨后不适3月余而住院。外院及本院食管造影及摄片见钡剂通过贲门部缓慢,管腔狭窄,扩张度差,诊为贲门癌。细胞学检查见到可疑腺癌细胞。剖胸探查:贲门未发现病变,粘膜良好,再次涂片检查未见癌细胞,可见炎性细胞。术后随访10年,病人健在。例2,患者,男性,49岁,农民。进食梗噎5年余,一年来进行性加重而入院。X线检查:钡餐见食管下端贲门部狭窄,钡剂通
Clinical and X-ray signs of cardiac cancer are quite similar to some benign diseases of the cardia, and are easily misdiagnosed. Our hospital was misdiagnosed as cardiac cancer in 3 cases. The report is as follows: Case 1, female, 57 years old, farmer. He was admitted to hospital for more than three months due to her belching, back sinking, and discomfort to the sternum. Esophageal radiography and radiographs in the outer hospital and the hospital showed that the sputum was slow through the cardia, the lumen was narrow, and the degree of expansion was poor. The patient was diagnosed with cardiac cancer. Cytological examination revealed suspicious adenocarcinoma cells. Tracheotomy: No changes were found in the fontanelles, and the mucosa was good. No smears of cancer cells were seen in the smear again. Inflammatory cells were seen. After 10 years of follow-up, the patient was alive. Case 2, patient, male, 49 years old, farmer. After eating for more than 5 years, she has been hospitalized for more than one year and has been hospitalized. X-ray examination: barium meal see esophageal stenosis at the lower end of the cardia