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患者,男,48岁,工人。1970年1月发生吞咽时胸骨后痛,进食有滞留感,经X线吞钡检查,拟食管中段癌,病灶长约5.7cm。食道镜活检病理报告为:角化鳞状上皮癌。(病理号:10711)。 于1970年5月26日—7月17日行~(60)Co(SSD 65cm)三野法照射,总量为8133rad/53天/42次。放疗结束前一周,食道吞钡检查,钡剂通过良好,原病灶已基本消失,粘膜重现。放疗后第3、8月各进行食道吞钡透视及照片复查,未发现异常。至1983年8月,出现进食后胸闷现象,依食管钡剂检查为:食管僵直、粘膜粗糙。活检报告为:鳞状上皮癌(病理号23960)。证实为复发,再进行第二程放疗,时隔13年之久。 讨论:食管癌的治疗,当今以手术、放疗或两者
Patient, male, 48 years old, worker. In January 1970, when the sternal back pain occurred during swallowing, there was a feeling of stagnation. After swallowing, X-ray examination was performed to identify the middle segment of esophageal carcinoma. The lesion was 5.7 cm long. Esophageal biopsy pathology report: Keratinous squamous cell carcinoma. (Pathology Number: 10711). On May 26th to July 17th, 1970, 60 (60)Co (SSD 65cm) Sanye method irradiation was performed, and the total amount was 8133rad/53 days/42 times. One week before the end of radiotherapy, the esophagus was swallowed and checked. The tincture passed well, the original lesion had basically disappeared, and the mucosa reappeared. In the 3rd and 8th month after radiotherapy, the esophageal swallowing perspective and photo review were performed. No abnormality was found. In August 1983, there was a chest tightness after eating. According to esophageal barium examination, esophageal rigidity and rough mucous membranes were observed. The biopsy report was: squamous cell carcinoma (pathological number 23960). Confirmed for recurrence, and then the second course of radiotherapy, a time of 13 years. Discussion: Treatment of esophageal cancer, with surgery, radiotherapy or both today