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病例:男性,52岁。饭后1～2小时发作规律性上腹部灼热痛约20年,近二个月来出现咽下食物梗塞感,进吃固体食物时明显。上消化道造影:食道下段长约6厘米粘膜不规则增粗,部分呈颗粒状,有1～2条粘膜中断,后壁近贲门处可见一直径约2mm的溃疡,其边缘尚规则,食管壁扩张度差,胃及十二指肠未见异常,诊断食管下段癌。食管镜检查:距门齿34厘米处粘膜粗糙糜烂,壁扩张度差,印象早期食管癌。食管钳取组织,病理检查:食管粘膜呈慢性炎性坏死组织,伴部分上皮中度异形增生。开胸探查术
Case: Male, 52 years old. 1 to 2 hours after a meal attack regular abdominal pain burning about 20 years, nearly two months to swallow the sense of food ingestion, eat solid food significantly. Upper gastrointestinal angiography: the lower esophagus about 6 cm irregular thickening of the mucous membrane, some were granular, there are 1 to 2 mucosal interruption, the rear wall near the cardia can be seen a diameter of about 2mm ulcer, the edge of the rule, the esophagus Poor wall expansion, no abnormalities in the stomach and duodenum, diagnosis of lower esophageal cancer. Esophagoscopy: 34 cm away from incisors mucosal rough erosion, poor wall expansion, the impression of early esophageal cancer. Esophageal clamp tissue, pathological examination: the esophageal mucosa was chronic inflammatory necrosis tissue, with part of the moderate epithelial dysplasia. Thoracotomy exploration