食管癌是临床上常见恶性肿瘤之一，典型症状是进行性吞咽困难。近年来，我们遇到４例无吞咽困难，而以其他症状为突出临床表现的患者，由于其症状复杂，误诊时间最长达３个月之久，现分析报道如下。１病例介绍例１以乳糜胸腔积液为首发症状。患者女，４２岁，农民。３个月... Esophageal cancer is one of the common malignant tumors in the clinic. The typical symptom is progressive dysphagia. In recent years, we have encountered 4 cases of patients without dysphagia, and other symptoms as outstanding clinical manifestations, because of its complex symptoms, the misdiagnosis time up to 3 months, the analysis is reported as follows. 1 Case Introduction Example 1 The first symptom was chylous pleural effusion. Female patient, 42 years old, farmer. 3 months...