目的：提高对食管腺样囊性癌的认识和诊断。方法：回顾分析４例（男３例女１例，年龄４２～４６岁）经手术和病理证实的食管腺样囊性癌的Ｘ线表现。结果：（１）圆形或椭圆形腔内隆起，表面光滑；（２）向腔内突出的蕈伞样或息肉样肿物，分叶状，表面不光滑；（３）食管粘膜紊乱、破坏、龛影，管腔轻度狭窄；（４）管壁局限或环形僵硬，管腔狭窄，粘膜尚光滑，呈梗阻状。结论：上述Ｘ线表现对诊断食管腺样囊性癌有重要价值 Objective: To improve the understanding and diagnosis of adenoid cystic carcinoma of the esophagus. Methods: The X-ray findings of adenoid cystic carcinoma of the esophagus confirmed by surgery and pathology were retrospectively analyzed in 4 patients (male, 3 female, 1 case, aged 42-46 years). Results: (1) The round or oval cavity is raised and the surface is smooth; (2) The parachute or polypoid mass protruding into the cavity is lobulated and the surface is not smooth; (3) The esophageal mucosa is disordered and destroyed. , Yingying, mild lumen stenosis; (4) the limitations of the wall or ring stiffness, narrow lumen, mucosa is still smooth, obstructive. Conclusion: The above X-ray findings have important value in the diagnosis of adenoid cystic carcinoma of the esophagus