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患者男性,54岁。因低热3个月,伴胃纳差而入院。作胸部 X 线摄片及上消化道 X 线检查,显示右位心及大血管向右转位,胃呈反位,食管下段可见6 cm 充盈缺损,粘膜破坏。CT 显示肝脏在左侧,脾在右侧。内窥镜检查:距门齿34cm 处,可见食管管腔狭窄,局部粘膜隆起破坏,表面可见白苔。活检病理诊断为鳞状细胞癌。
The patient male is 54 years old. Due to low fever for 3 months, he was admitted to hospital with poor appetite. X-ray examination of the chest and upper gastrointestinal tract X-ray showed that the right anteroposterior and large vessels were transposed to the right. The stomach was in the reverse position. A 6 cm filling defect was seen in the lower esophagus and the mucosa was destroyed. CT shows the liver on the left and the spleen on the right. Endoscopy: At a distance of 34 cm from the incisor tooth, the lumen of the esophagus was narrow, and the local mucosa was uplifted. The white coating was visible on the surface. The pathological diagnosis of biopsy was squamous cell carcinoma.