病例张××,男,69岁,农民。进食噎感八个月,于1981年11月11日来诊。无腹痛、恶心、呕吐、呕血、黑便、背痛等。查体:消瘦,淋巴结不大,心肺无异常,腹软,肝脾不大,未触及肿块,下肢不肿。11月17日行纤维胃镜检查(胃镜号2701)距门齿80Cm处见一肿物,约黄豆大,突入管腔,表面粘膜光滑,色泽尚正常。镜检胃腔及十二指肠无异常发现。病理报告非典型增生(病理号810616)。12月1日再次作胃镜检查,并分别在距门齿30cm、33cm 及35cm 处取活检,病理报告距门齿33cm取材为食管腺棘癌(低度恶化),而30cm 和35cm 处取材为正常食管鳞状上皮。 Case Zhang × ×, male, 69 years old, farmer. The stench of eating was eight months old. He was admitted on November 11, 1981. No abdominal pain, nausea, vomiting, vomiting, black stools, backache, etc. Physical examination: weight loss, no lymph nodes, no abnormalities in heart and lungs, soft abdomen, small liver and spleen, no palpable mass, no swelling of lower extremities. On November 17, a fiberoptic gastroscopy (gastroscope number 2701) was seen at a distance of 80 cm from the incisor tooth. The size of the soy bean was large and the lumen was protruded. The surface of the mucosa was smooth and the color was normal. Microscopic examination of the gastric cavity and duodenum was not found abnormally. Pathology reports dysplasia (Pathology No. 810616). On the 1st of December, gastroscopy was performed again. Biopsies were taken at 30cm, 33cm, and 35cm from the incisors. The pathology report was 33cm from the incisors and was derived from esophageal adenocarcinoma (low grade deterioration), and normal esophageal scales were obtained at 30cm and 35cm. Epithelium.