论文部分内容阅读
原发食管的淋巴瘤极为罕见,我院近期收治1例,现报告于下.患者男,56岁,间断发热半月伴纳差,体重进行性下降,恶心、呕吐,于1994年4月12日入院.体检:T38.5℃,全身浅表淋巴结不大,心界不大,听诊心脏无异常.右肺叩诊浊音,呼吸音减弱.肝右肋下1cm,脾未及.骨髓检查为感染骨髓象.内境检查:食管26cm处左侧壁3×2×2cm隆起,表面糜烂,质中硬.29—38cm段呈不规则囊状扩张,内壁似蜂窝状,部分前壁呈不规则肉芽状小突起,质脆,易接触出血,近旁见大血管搏动,管腔严重变形未近入背腔.病检食管恶性淋巴瘤.X线诊断:①食管中下段恶性淋巴瘤向纵膈穿破;②右侧包裹性液气
The primary esophageal lymphoma is extremely rare and was recently treated in our hospital in 1 case. It is reported in the following. The patient is male, 56 years old, with intermittent half-month fever, asymmetry, weight loss, nausea, and vomiting, on April 12, 1994. Admitted to the hospital. Physical examination: T38.5°C, with superficial superficial lymph nodes, small heart, no auscultation of the heart. Dullness of the right lung palpation, breath sounds weakened. Liver right subcostal 1cm, spleen not present. Bone marrow examination for infection of bone marrow Elephant. Internal examination: Esophageal 26cm at the left side of the wall 3 × 2 × 2cm uplift, the surface erosion, hard in the middle. 29-38cm segment was irregular cystic dilatation, the internal wall resembles a honeycomb, some of the front wall was irregular granulation Small protrusions, crisp, easy to contact bleeding, see large blood vessels near the beat, severe deformation of the lumen is not close to the back cavity. Disease detection of esophageal malignant lymphoma. X-ray diagnosis: 1 middle and lower esophageal malignant lymphoma longitudinal torn through; 2 right package liquid gas