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1 病例报告 患者女性,43岁。2个月前无明显诱因出现进食梗阻感,近来症状加重,于2002年9月18日来院就诊。X线诊断:食管中下段改变,考虑早期占位病变。胸部CT示双肺无异常。B超:肝、胆、胰、脾、双肾声像图未见异常。心电图:窦性心率,正常心电图。临床化学检查、尿常规、大便常规均正常。无异位激素内分泌症状。胃镜活检病理报告:中段食管考虑小细胞癌。行开胸探查术,术中发现胸中段食道可扪及一约1.5cm×1cm×1cm大小肿物,未浸透纤维层。肺门及隆突下均有数枚肿大淋巴结。胃贲门右侧有一2.5cm×1cm大小肿
1 Case Report Patient Female, 43 years old. 2 months ago, there was no obvious incentive to eat obstructive flu, recent symptoms worsened, in September 18, 2002 came to hospital. X-ray diagnosis: changes in the lower esophagus, consider early lesions. Chest CT showed no abnormal lungs. B-ultrasound: liver, gallbladder, pancreas, spleen, kidney no abnormal sonogram. ECG: sinus heart rate, normal ECG. Clinical chemical tests, urine, stool routine are normal. No hormones endocrine symptoms. Gastroscopy biopsy pathology report: the middle of esophageal small cell carcinoma. Thoracotomy exploration, intraoperative findings of the middle of the esophagus palpable palpable about 1.5cm × 1cm × 1cm size of the tumor, not infiltrating the fibrous layer. Hilar and carina have several mass enlarged lymph nodes. Right gastric cardia has a 2.5cm × 1cm size swelling