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我院近4年经胃镜检查发现临床误诊的食管贲门癌38例,分析其误诊原因,对早期表现和诊断进行探讨如下: 临床资料本组38例男34例,女4例。年龄35～78岁。其中食管上段癌4例,上中段1例,中段8例,中下段2例,下段7例,下段贲门10例,贲门6例。按周岱云等编著食管癌胃镜分型早癌23例(SⅠ6例,SⅡ8例,SⅢ3例,SⅥ3例,SⅤ3例)进展癌15例(Ⅰ9例,Ⅱ2例,Ⅲ1例,Ⅵ2例,Ⅴ1例)。误诊溃疡病8例,胃炎9例,食道炎6例,腹痛待查6例,食管可疑癌4例,平
In our hospital in the past 4 years, 38 cases of esophageal and cardiac cancers were misdiagnosed by gastroscopy. The reasons for misdiagnosis were analyzed. The early manifestations and diagnosis were discussed as follows: Clinical data The group consisted of 34 males and 34 females. Age 35 to 78 years old. Among them, there were 4 cases of upper esophageal cancer, 1 case of upper middle segment, 8 cases of middle segment, 2 cases of middle and lower segments, 7 cases of lower segment, 10 cases of lower segment cardia, and 6 cases of fontanel. According to Zhou Yiyun and other editors of esophageal cancer gastroscopy type early carcinoma in 23 cases (SI6 cases, SII 8 cases, SIII 3 cases, SVI3 cases, SV3 cases) 15 cases of cancer progression (I9 cases, II cases, III cases, VI cases, V1 cases). Misdiagnosis of ulcer disease in 8 cases, 9 cases of gastritis, 6 cases of esophagitis, 6 cases of abdominal pain to be investigated, 4 cases of suspected esophageal cancer, flat