食管转移性肿瘤在癌肿尸体解剖中占3.2%。X线表现虽与原发性肿瘤相似,但有一些征象有助于食管转移性肿瘤的诊断。作者报告62例,均经病理证实。其中直接传播28例(45.2%),经纵隔淋巴结传播22例(35.5%),血行播散12例(19.3%)。临床所见:男40例,女22例;年龄33～78岁,平均年龄59岁。原发性恶性肿瘤位于胃21例,肺23例,甲状腺4例、喉2例以及结肠、子宫颈、膀胱和前列腺各1例。50%的患者诉进行性吞咽困难,3例肺癌患者感吞 Esophageal metastatic tumors accounted for 3.2% of cancer autopsies. Although X-ray findings are similar to those of primary tumors, there are some signs that contribute to the diagnosis of esophageal metastatic tumors. The authors reported 62 cases that were confirmed by pathology. Among them, 28 cases (45.2%) were directly transmitted, 22 cases (35.5%) were transmitted through mediastinal lymph nodes, and 12 cases (19.3%) were disseminated by blood. Clinical findings: 40 males and 22 females; aged 33 to 78 years, mean age 59 years. Primary malignant tumors were found in 21 cases of stomach, 23 cases of lung, 4 cases of thyroid, 2 cases of larynx, and 1 case of colon, cervix, bladder, and prostate. 50% of patients complained of progressive dysphagia and 3 of lung cancer patients felt swallowed