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在食管的恶性肿瘤中,癌肉瘤和肉瘤极为少见。国内外文献报道癌肉瘤不超过40例。国内也仅只7例。我院外检食管肿瘤218例中,一例为癌肉瘤;一例为肉瘤。例1:患者,女,47岁,住院号910453。以食管癌收治。肿瘤位于食管中段,以1.5×0.8×1.0cm之有蒂息肉状肿物突入食管管腔,表面尚平坦,无包膜。蒂粗0.3cm长1cm。其组织相:瘤体表面为分化好的鳞状细胞癌,瘤体内为平滑肌细胞肉瘤。
In malignant tumors of the esophagus, carcinosarcomas and sarcomas are extremely rare. Domestic and foreign literature reported that no more than 40 cases of carcinosarcoma. There are only 7 cases in China. Out of 218 esophageal cancers detected outside our hospital, one case was carcinosarcoma; one case was sarcoma. Example 1: Patient, female, 47 years old, hospital number 910453. Treated with esophageal cancer. The tumor was located in the middle esophagus and protruded into the esophageal lumen with a 1.5×0.8×1.0 cm pedunculated polypoid mass. The surface was still flat and no capsule. The pedicle is 0.3cm in length and 1cm in length. The tissue phase: the tumor surface is a well-differentiated squamous cell carcinoma, and the tumor body is a smooth muscle cell sarcoma.