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[病例]男,65岁。因进行性吞咽困难8月伴消瘦4月,来本院就诊。钡透检查:食管卞段狭窄,钡剂不能通过。诊断:食管下段癌。食管镜检查:食管距门齿35cm处可见菜花样肿物侵及食管四壁,管腔狭窄,纤维镜不能通过。距门齿30cm处食管后壁可见0.5cm×0.5cm暗红色充血斑,伴点状糜烂,表面粗糙颗粒样,质稍硬,触之易出血。内镜诊断:微小食管癌合并晚期食管癌。二病变处活检病理报告:距门齿30cm病变为低分化磷癌;距门齿35cm病变为中分化鳞癌。
[Case] Male, 65 years old. August due to progressive dysphagia with weight loss in April, came to our hospital. Penetration examination: esophageal fistula stenosis, tincture can not pass. Diagnosis: Lower esophageal cancer. Esophagoscopy: A cauliflower-like mass infiltrating the esophagus was seen at 35 cm from the esophageal incisor. The lumen was narrow and the fiberscope could not pass. From the incisor 30cm at the posterior wall of the esophagus, 0.5cm x 0.5cm dark red congestion spots were visible, with punctate erosions, rough surface granules, slightly harder texture, and easy bleeding. Endoscopic diagnosis: Small esophageal cancer with advanced esophageal cancer. Biopsy pathology report of the two lesions: 30cm lesions from the incisors were poorly differentiated phosphorus cancer; 35cm lesions from the incisors were moderately differentiated squamous carcinoma.