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患者男,69岁。主诉下咽癌术后放疗致进食梗阻感半年入院。患者于2006年12月无意中出现吞咽困难,在当地医院查颈部CT示食管上段咽部占位性病变。后就诊于某肿瘤医院,以“下咽癌”收入院,并于2007年1月27日行全喉切除术加胸大肌替代部分食管吻合术,术后病理示高分化鳞状细胞癌。2007年4月初,患者出现吞咽困难,胃镜检查示门齿18cm处吻合口狭窄。
Male patient, 69 years old. Chief complaints of postoperative radiotherapy of hypopharyngeal cancer caused eating obstruction for six months. The patient inadvertently developed dysphagia in December 2006. A local neck CT scan was performed at a local hospital to show the location of the upper esophageal pharyngeal lesion. After attending a cancer hospital, he was hospitalized with “hypopharyngeal cancer,” and on January 27, 2007, total laryngectomy and pectoralis major muscle were substituted for partial esophageal anastomosis. Postoperative pathology showed well-differentiated squamous cells. cancer. At the beginning of April 2007, dysphagia occurred in the patient. Gastroscopy showed anastomotic stenosis at the incisor at 18 cm.