食管癌外科治疗已取得令人瞩目的进展，但手术后复发转移仍为影响预后的首要问题。笔者仅就以下问题与同道商榷。1复发和漏诊食管粘膜癌变常为发展程度不同的多点起源，形成主要病灶以外的诸多卫星灶。术前常规检查极易漏诊，导致第二个原发癌遗漏或切端残留癌复发。前者常因诊 Surgical treatment of esophageal cancer has made remarkable progress, but recurrence and metastasis after surgery remain the most important issue affecting prognosis. The author only consults with the same trader on the following issues. 1 recurrence and missed diagnosis of esophageal mucosal cancer is often the development of different degrees of multi-site origin, the formation of many other than the main focus of the satellite. Preoperative routine examinations can easily lead to missed diagnosis, resulting in a second primary cancer missed or recurrent residual cancer. The former is often diagnosed