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目的：探讨食管癌肉瘤的Ｘ线诊断。材料和方法：经手术病理证实的食管癌肉瘤７例，男５例，女２例。全部病例均行食管低张双对比造影检查。结果：根据Ｘ线表现将７例食管癌肉瘤分成息肉型和浸润型。息肉型６例，表现为腔内带蒂或宽基的肿物，呈分叶状，瘤基底周围的食管粘膜不规则破坏，呈颗粒状隆起或钡点。浸润型１例，表现为管腔狭窄、管壁僵硬、粘膜破坏，可见腔内外软组织肿块。食管癌肉瘤中癌全部为鳞癌、肉瘤中２例平滑肌肉瘤、４例纤维间质细胞肉瘤、１例恶性纤维组织细胞瘤。结论：具有上述Ｘ线表现，结合患者年龄偏大，症状相对较轻，应考虑食管癌肉瘤。
Objective: To investigate the X-ray diagnosis of esophageal carcinosarcoma. Materials and Methods: Seven cases of esophageal carcinosarcoma confirmed by operation and pathology included 5 males and 2 females. All cases underwent double-contrast angiography. RESULTS: According to X-ray findings, 7 cases of esophageal carcinosarcoma were classified as polypoid and infiltrated. In 6 polypoids, the tumor showed a pedunculated or broad-based mass, which was lobulated. The esophageal mucosa around the tumor base was irregularly disrupted and showed granular bulges or defects. One case of infiltrating type showed luminal stenosis, rigid wall, and mucosal destruction. Visible intraluminal and soft tissue lumps. The cancers in esophageal carcinoma sarcoma were all squamous cell carcinomas, 2 cases of leiomyosarcoma in sarcoma, 4 cases of stromal cell sarcoma, and 1 case of malignant fibrous histiocytoma. Conclusion: With the above X-ray findings, combined with older patients, the symptoms are relatively mild and esophageal carcinosarcoma should be considered.