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胃食管双原发癌较罕见,现将我科1987年6月收治的一例报道如下。男性、47岁。主诉进行性咽下食物梗噎感8个月。入院体检及实验室检查均未见异常,X线钡餐检查见食管中段有8.5cm范围粘膜充盈缺损,上端在气管分叉平面,以食管右侧壁缺损明显,局部粘膜纹理中断。诊断为“食管中下段癌”。手术探查除发现食管中下段癌肿外,同时见胃底贲门部大弯侧有一4cm×4cm大肿块、质硬。术中行食管癌及胃大部切除术、食管胃弓上吻合术。病理检查:食管蕈伞型鳞状细胞癌,侵及外膜层。胃底贲门部溃疡型高分化管状腺
Gastroesophageal double primary cancer is rare, and one case reported in our department in June 1987 is as follows. Male, 47 years old. He complained of progressive food swallowing for 8 months. Physical examination and laboratory examination showed no abnormalities. The X-ray barium meal examination showed a mucosal filling defect in the middle of the esophagus at 8.5 cm. The upper end was in the tracheal bifurcation plane, and the right wall defect of the esophagus was evident, and the local mucosal texture was interrupted. The diagnosis was “Esophageal cancer”. Surgical exploration in addition to the discovery of the lower esophageal cancer, also see a large curvature of the fundus at the fundus side of a large 4cm x 4cm lump, hard. Intraoperative esophageal cancer and gastrectomy, esophagogastric bow anastomosis. Pathological examination: Esophageal fistula-type squamous cell carcinoma, invasion of the outer membrane. Gastric cardia ulcerous type well-differentiated tubular gland