晚期食管癌常发生远处转移,但以腹壁转移为首发症状的比较少见。笔者近期在临床上遇见二例,报告如下: 例1,男性,54岁。发现下腹壁黑枣样大小肿物1月余。入院前手术切除,病理报告为未分化癌。主诉无任何不适,查体无异常发现。两次纤维胃镜检查,进镜29cm靠左前壁有一条状肿物纵行向腔内突出,表面有小片糜烂扩张,活检病理为未分化癌,因故未手术,随访2月余,患者仍无吞咽困难等症状。例2,女性,65岁。左下腹壁发现花生米大小肿物半年余,近半个月增大明显,切除后病理诊断为未分化癌。主诉有时感乏力,查体无异常发现,胸片正常,上消化道造 Late esophageal cancer often occurs in distant metastasis, but it is rare to have abdominal metastasis as the first symptom. The author recently met two cases in the clinic, the report is as follows: Example 1, male, 54 years old. Found more than one month of dark jujube-like size of the abdominal mass. Surgical resection before admission, pathological reports of undifferentiated carcinoma. The chief complaint did not have any discomfort, and there was no abnormality in the physical examination. Two fiberoptic gastroscopes, 29cm into the mirror on the left anterior wall with a lump in the longitudinal direction of the tumor to the lumen, the surface of a small piece of smashed expansion, biopsy pathology is undifferentiated carcinoma, for some reason without surgery, follow-up more than 2 months, the patient is still No symptoms such as difficulty swallowing. Example 2, female, 65 years old. In the left lower abdominal wall, it was found that the size of the peanut mass was more than half a year old, and it increased significantly in the past half month. After resection, the pathological diagnosis was undifferentiated carcinoma. The chief complaint was sometimes lackluster, no abnormal findings, chest radiographs, upper digestive tract