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患者,男性,38岁。因间断性进食异物感3年余,伴胸骨后刺痛3个月,吞咽不畅2周,于1990年12月25日入院。3年前无明显诱因于进食后出现异物感,症状时轻时重。X线食管造影及胸部CT扫描诊断为下段食管囊肿,患者拒绝手术。3个月前症状明显加重,伴进食胸骨后刺痛及吞咽困难。钡剂造影:食管下段有4cm狭窄段,粘膜中断破坏,右后壁有不规则龛影,管腔右方有5cm×3cm软组织块影。诊断:食管囊肿合并食管癌。遂行左侧剖胸探查,术中见囊肿位于食管下段约6cm×3cm×2.5cm大小,
Patient, male, 38 years old. He was admitted to the hospital on December 25, 1990 for intermittent eating of foreign body sensation for more than 3 years, accompanied by a sternum stinging for 3 months, and poor swallowing for 2 weeks. 3 years ago there was no obvious cause of foreign body sensation after eating. Symptoms were light and heavy. X-ray esophageal radiography and chest CT scan were diagnosed as lower esophageal cysts and patients refused surgery. Symptoms increased significantly 3 months earlier, with tingling and difficulty swallowing after eating the sternum. Barium angiography: The lower esophagus has a 4cm stenosis segment, the mucous membrane is disrupted and disrupted, and the right posterior wall has an irregular ridge shadow. The right side of the lumen has a 5cm x 3cm soft tissue block shadow. Diagnosis: Esophageal cysts with esophageal cancer. At the same time, the left side of the chest was explored. The cyst was located approximately 6cm × 3cm × 2.5cm in the lower esophagus.