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食管肿瘤以鳞状细胞癌最多见,间叶组织肿瘤较少见,而鳞状细胞癌合并平滑肌肉瘤者实属罕见。我院于1982年遇到多原发食管鳞状细胞癌及平滑肌肉瘤一例,报导如下:患者男性,60岁,自诉半年前开始咽硬食有挡感,伴胸骨后饱胀和烧灼感。病情逐渐加重,四、五个月后仅能进食半流汁食物。患者有烟酒嗜好,无特殊家族病史。心、肺检查阴性,肝、脾未触及。血、尿及大便检查均未见异常。X 光检查;见食道下段相当于胸椎9—10水平处,可见约4厘米狭窄段,狭窄处粘膜破坏,管壁僵硬,扩张受限,钡剂通过受阻(图1)。
The most common squamous cell carcinomas are esophageal neoplasms, rare in mesenchymal tumors, and squamous cell carcinoma with leiomyosarcoma is rare. In 1982, our hospital encountered multiple cases of primary esophageal squamous cell carcinoma and leiomyosarcoma. The report was as follows: The patient was male, 60 years old. She complained of a blocky sensation of pharyngeal hard food six months before, with full sternal back and burning sensation. The condition gradually worsened. After four or five months, only half of the juice can be eaten. Patients have tobacco and alcohol habits, no special family history. Heart and lung tests were negative, and the liver and spleen were not touched. No abnormalities were found in blood, urine and stool examinations. X-ray examination; see the lower esophagus is equivalent to the 9-10 level of the thoracic vertebral, visible about 4 cm stenosis, mucosal lesions in the stenosis, rigid wall, limited expansion, blocked by tincture (Figure 1).