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1临床资料患者,男性,54岁。因进行性吞咽困难半年余,于2012年1月入我院诊治。既往无特殊病史。入院查体:KPS评90分;全身浅表淋巴结未扪及;心肺腹无阳性体征。实验室检查提示血清LDH升高(455.84 U/L),余均在正常范围;上消化道钡餐造影发现:食管下段见长约4.9 cm充盈缺损,局部食管管壁僵硬、蠕动消失,考虑食管癌可能。进一步行胃镜检查提示:距门齿33~37 cm食管段见一新生物凸向腔内,其表面不平,中央
1 clinical data patients, men, 54 years old. Due to progressive dysphagia more than six months, in January 2012 into our hospital for treatment. No special medical history. Admission examination: KPS rated 90 points; systemic superficial lymph nodes not palpable; no signs of CPB. Laboratory tests showed elevated serum LDH (455.84 U / L), the remaining in the normal range; upper gastrointestinal barium meal imaging found: the lower esophagus see 4.9 cm filling defect, local esophageal wall stiffness, peristalsis disappeared, consider esophageal cancer may . Further gastroscopy prompted: from the incision 33 ~ 37 cm esophageal see a new biological convex cavity, the uneven surface, the central