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食管憩室癌变较罕见,本文报告3例,均为鳞癌。 临床资料 例1 男,52岁,因胸骨后疼痛,钡餐检查发现食管憩室10余年。1974年下半年开始吞咽困难,并逐渐加重,身体消瘦,于1975年2月入院。检查,营养差,肝脾(一),血红蛋白10g,余(一)。X线检查:吞钡后见食管中段前壁有一约2×3cm憩室,憩室口部粘膜破坏,表面不规则,憩室内有不规则充盈缺损,底部有钡剂沉积,2小时后复查仍未排空。憩室口部之食管壁蠕动消失。X线诊断:食管憩室癌变。手术见憩窒口及其附近食管壁及憩室内均有癌肿浸润生长。病理诊断:食管憩室癌合并食管鳞癌。
Esophageal diverticulosis is rare, and this article reports 3 cases, all of which are squamous cell carcinomas. Clinical data Example 1 Male, 52 years old, with back pain in the sternum, barium meal examination found esophageal diverticulum for more than 10 years. Dysphagia began in the second half of 1974 and gradually worsened. She was emaciated and admitted to hospital in February 1975. Check, poor nutrition, liver and spleen (a), hemoglobin 10g, I (a). X-ray examination: After swallowing, see an approximately 2 × 3cm diverticulum in the anterior wall of the middle esophagus. The mucous membrane at the mouth of the diverticulum is damaged, the surface is irregular, there is an irregular filling defect in the diverticulum, and there is a deposit at the bottom. The review is still not performed after 2 hours. air. Esophageal wall motility disappeared at the mouth of the chamber. X-ray diagnosis: Esophageal diverticulitis. Surgical treatment revealed that the fistula and its adjacent esophageal wall and septum were infiltrated with cancerous growth. Pathological diagnosis: Esophageal diverticulum with esophageal squamous cell carcinoma.