患者,男,66岁。吞咽梗阻感,体重下降3个月。体检:全身浅表淋巴结无肿大。肝脾未扪及。钡餐检查:食管各段见多个隆起结节样病变,散在分布,大小不一,最大者位于食管上段右前壁,表面毛糙,有斑点状钡剂附着,个别病变表面光整,病变之间存在正常食管粘膜。食管中、下段蠕动存在,但较 Patient, male, 66 years old. Swallowing obstruction and losing weight for 3 months. Physical examination: There was no swelling of the superficial lymph nodes. Liver and spleen were not affected. Barium meal examination: esophageal see multiple nodular lesions in various segments, scattered distribution, size, the largest is located in the upper esophagus on the right anterior wall, rough surface, spotted tincture attachment, individual lesions surface finishing, lesions exist between Normal esophageal mucosa. Esophageal motility exists in the lower segment, but it is relatively