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食管癌肉瘤较罕见,占食管恶性肿瘤的1％以下,国内外文献报道约70余例,国内仅19例。我科在200例食管、贲门瘤切除病例中仅见1例,现报道如下。 患者:男,60岁,农民。因进行性吞咽困难4个月,于1978年4月17日入院。体检无异常。食管钡餐造影见主动脉弓下缘偏食管左侧壁有三角形充盈缺损,长约6cm,病变区食管扩张。1978年5月2日开胸探查,肿块位于主动脉弓下2cm的食管胸内,病变段食管明显扩张,推挤时肿瘤可上下移动,食管壁柔软,食管与周围组织轻度粘连。乃行瘤段食管切除,
Esophageal carcinosarcoma is rare and accounts for less than 1% of esophageal malignancies. There are about 70 cases reported in domestic and foreign literatures, only 19 cases in China. In our department, only one case was seen in 200 cases of esophageal and cardiac tumor resection. The report is as follows. Patient: Male, 60 years old, farmer. He was admitted to hospital on April 17, 1978 due to progressive dysphagia for 4 months. There is no abnormal physical examination. The esophageal barium meal imaging showed a triangular filling defect on the left wall of the inferior esophagus of the aortic arch, which was about 6 cm long and the esophageal dilation of the lesion area. On May 2, 1978, he underwent chest exploration. The mass was located in the esophagus of the abdomen 2 cm below the aortic arch. The esophagus of the diseased segment was significantly expanded. The tumor could move up and down when pushed, the wall of the esophagus was soft, and the esophagus and the surrounding tissue were lightly adherent. Is a tumor segment esophagectomy,