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食管鳞状细胞癌骨转移极为少见,至今国内外文献仅见1例报告.现收治1例报告如下.患者男性,65岁,2个月前无明显诱因出现进食梗阻感伴吞咽困难,进食常用水送服,后出现背部疼痛及进食时胸骨后疼痛,不伴发热及呕吐.初期未经治疗,后因症状逐渐加重且出现右股部疼痛,活动受限而于1993年11月8日来我院就诊.行食管钡餐造影,见食管中下段溃疡型肿块.纤维食管镜检查:距门齿33～39cm食管后壁可见累及食管半周溃疡型肿物,边缘堤状隆起.咬检病理:鳞状细胞癌Ⅱ级.CT检查显示:中段食管肿物伴纵隔淋巴结转移.股部X线检查示:右股骨中段骨髓腔内形态不规则虫蚀状骨质破坏灶,界限不清,内侧骨皮质密度减低.
The bone metastasis of esophageal squamous cell carcinoma is extremely rare, so far only one case has been reported at home and abroad. One patient is reported as follows. The patient male, 65 years old, had no obvious incentive to have eating sensation with dysphagia 2 months ago, eating common water After delivery, there was back pain and back pain after eating, no fever and vomiting. Untreated at the beginning, later due to symptoms gradually worsened and right cheek pain, limited activity and came to me on November 8, 1993 Hospital treatment. Barium esophageal barium meal, see esophageal ulcers in the lower segment. Fiber esophagoscopy: from the incisors 33 ~ 39cm esophageal wall can be seen around the esophageal semi-peritoneal ulcer type of tumor, edge embankment uplift. Biting pathology: squamous cell Carcinoma grade II. CT examination showed: middle esophageal mass with mediastinal lymph node metastasis. X-ray examination of the femoral area showed that the bone marrow in the middle of the right femoral cavity was irregular in the shape of the etched bone and the boundary was unclear. The density of the medial cortical bone was reduced. .