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1 病例报告 患者男,62岁,困进行性进食困难半年住院。既往1年半前患下颌腺癌行手术切除。查体:一般情况可,发育、营养中等,皮肤、巩膜未见黄染,浅表淋巴结不大。心、肺、腹部未见异常,X线胸片示心、肺、膈未见异常。上消化道造影示贲门狭窄、充盈缺损、粘膜皱壁破坏中断。初步诊断:1、贲门癌;2、下颌腺癌切除术后。于1993年1月12日在全麻下行左侧开胸探查术,见肿瘤位于贲门小弯侧,约4×3×2cm大小,行贲门癌切除,食管胃主动脉弓下吻合术。探查左肺有两个硬性结节病灶。约2×2×1cm大小,行楔形切除。术后恢复好,18天出院。病理诊断:贲门腺癌分化Ⅱ级,左肺病灶为腺样囊性癌。
A case report male patient, 62 years old, sleepy progressive eating difficulties six months hospitalization. Previously a year and a half ago with submandibular adenocarcinoma surgery. Physical examination: the general situation can be, development, nutrition, skin, sclera no yellow dye, superficial lymph node is not large. Heart, lung, abdomen no exception, X-ray showed heart, lung, diaphragm no abnormalities. Upper gastrointestinal angiography shows cardia stenosis, filling defect, mucosal rupture of the broken wall. Preliminary diagnosis: 1, cardia cancer; 2, submandibular adenocarcinoma after resection. On January 12, 1993 under general anesthesia underwent thoracotomy exploration, the tumor is located in the lesser curvature of the cardia, about the size of 4 × 3 × 2cm, resection of cardia cancer, esophageal and gastric aortic arch anastomosis. Explore the left lung has two hard nodules lesions. About 2 × 2 × 1cm size, line wedge resection. Postoperative recovery, discharged 18 days. Pathological diagnosis: cardia adenocarcinoma grade Ⅱ, left lung lesions for adenoid cystic carcinoma.