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我院自1988年以来,在对126例地方性甲状腺肿病人进行胃镜检查过程中,发现5例地方性甲状腺肿病人合并食管癌,现报告如下。1 临床资料 本组5例全部为山区农民,其中男1例,女4例。年龄37～52岁,平均年龄44岁。患地方性甲状腺肿病程最短3年,最长12年,平均病程5年。地方性甲状腺肿分度:Ⅱ度1例,Ⅲ度3例,Ⅳ度1例。全部病例均有不同程度吞咽不适或吞咽困难,此病程最短3个月,最长8个月。电子胃镜检查及病理证实均为中晚期食管鳞状细胞癌,其中肿块型2例;肿块浸润型3例。位于食管中段4例;位于食管下段1例。
Our hospital since 1988, 126 cases of endemic goiter in patients with endoscopy during the process, found in 5 cases of endemic goiter with esophageal cancer, are as follows. 1 Clinical data All 5 patients in this group are mountain farmers, including 1 males and 4 females. Age 37 to 52 years old, average age 44 years old. Suffering from endemic goiter the shortest 3 years, up to 12 years, the average duration of 5 years. Endemic goiter classification: Ⅱ degree in 1 case, Ⅲ degree in 3 cases, Ⅳ degree in 1 case. All cases have varying degrees of swallowing discomfort or difficulty swallowing, the shortest duration of 3 months, up to 8 months. Electron gastroscopy and pathology were confirmed in advanced esophageal squamous cell carcinoma, of which 2 cases of mass type; mass infiltration in 3 cases. Located in the middle of the esophagus in 4 cases; located in the lower esophagus in 1 case.