患者男,60岁,舌嚥困难一年余,阻塞感加重两个月入院。体检,双颌下淋巴结肿大似蚕豆大小,活动、质硬。X线示,食道上段轻度受阻,并见钡剂分流,粘膜破坏约4cm长。食道镜:进入20-25cm范围,见管壁右侧粘膜广泛隆起,不规则、边界不清,病变占管腔横径约1/4。取部份瘤组织送检。 The patient was male, 60 years old. She had dysphagia for more than one year. Her sense of obstruction worsened and she was admitted to the hospital two months later. Physical examination, submandibular lymph node enlargement resembles the size of broad bean, activity, hard quality. The X-ray showed that the upper esophagus was slightly blocked and the barium shunt was seen. The mucosal destruction was about 4 cm long. Esophagoscopy: Into the 20-25cm range, see the mucosa of the right side of the tube wall is extensively raised, irregular, unclear borders, lesions account for about 1/4 of the diameter of the lumen. Take some of the tumor tissue for inspection.