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我院自1964年至1985年共收治食管肿瘤438例,其中食管平滑肌瘤8例。8例中男5例,女3例,年龄21～63岁。肿瘤在食管中段4例,上段及下段各2例。主要症状为吞咽受阻、呃逆,胸骨后不适。无胸痛、背痛、消瘦等。病程20天～6年。术前正确诊断5例,术前误诊为食管癌3例,其它疾病误诊为食管平滑肌瘤1例。单纯行肿瘤切除6例,作食管切除及食管～胃吻台术2例。术后均痊愈出院。食管良性肿瘤中最常见的是食管平滑肌肿瘤它可发生于任何年龄,本组发病年龄平均为28.7岁。该病可发生恶变,但本组全部为良性. 食管平滑肌瘤的诊断主要依靠X线下作钡餐检查
Our hospital has treated 438 cases of esophageal cancer from 1964 to 1985, including 8 cases of esophageal leiomyoma. In 8 cases, there were 5 males and 3 females, aged 21-63 years old. Tumors occurred in 4 cases in the middle esophagus and 2 cases in the upper and lower segments. The main symptoms are swallowing, hiccups, and discomfort to the sternum. No chest pain, back pain, weight loss and so on. Duration of 20 days to 6 years. Preoperatively, 5 cases were correctly diagnosed, 3 cases were misdiagnosed as esophageal cancer before surgery, and other diseases were misdiagnosed as 1 case of esophageal leiomyoma. Six patients underwent tumor resection alone, and two patients underwent esophageal resection and esophageal to gastric kiss. All patients were cured and discharged. The most common esophageal benign tumor is esophageal smooth muscle tumor. It can occur at any age. The average age of onset in this group is 28.7 years. The disease can be malignant, but this group is all benign. The diagnosis of esophageal leiomyoma depends mainly on X-ray barium meal examination