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患者、女性、59岁,进食阻塞感三个月,于某医院行食道镜检查时发现食道距门齿35cm 处前壁结节状肿物,取活组织检查,病理报告为鳞状细胞癌。1989年11月1日以食管癌入我院。体格检查:浅表淋巴结无肿大,心肺正常,腹平、软,肝脾不大,无肿块。入院后再次行食道镜检查及病理活检,结果同入院前检查。1989年11月14日于全麻下经右后外侧切口行剖胸探查术,术中发现中段食道前壁明显增厚,长约4cm,无外侵,可以切除。切开左膈肌探查腹腔发现:胃小弯侧肿物6cm×5cm×5cm,胃小弯前后壁均为肿物浸润,并侵犯胰体部和第一
Patients, women, 59 years of age, eating obstructive for three months, esophagoscopy in a hospital when found in the esophagus from the incisor 35cm anterior nodular mass, take biopsy, pathology reported as squamous cell carcinoma. On November 1, 1989, we entered the hospital with esophageal cancer. Physical examination: Superficial lymph nodes were not swollen, heart and lung were normal, abdomen was flat, soft, liver and spleen were not large, and no lumps. After admission, esophagoscopy and biopsy were performed again. The results were examined before admission. On November 14, 1989, under general anesthesia, a transthoracic exploration was performed through the right posterolateral incision. During the operation, it was found that the anterior wall of the middle esophagus was significantly thickened and was about 4 cm long. No external invasion was possible and it could be removed. Cut open the left diaphragm muscle to find the abdominal cavity: the small curvature of the stomach mass 6cm × 5cm × 5cm, the stomach curvature before and after the wall are tumor infiltration, and invade the pancreatic body and first