食管的癌肉瘤甚为罕见。自1918年He-rxheimer首次报道以来,迄今国内文献报告约50例,作者收治一例,报道如下。病例摘要患者男性,65岁。进行性吞咽困难一月余,查体及常规化验无特殊发现,食管钡餐造影发现食管中下段相当于8、9胸椎处,有长约6cm的狭窄,粘膜粗糙,边缘不规则,钡剂通过缓慢。拉网查到鳞癌细胞,纤维食管镜进入距门齿28cm～33cm处见一息肉状肿物突入腔内,基底部宽阔,表面糜烂,触之易出血。活检诊断:食管鳞状细胞癌,行食管癌切除,食管胃端侧弓上吻合器吻合术,手术顺利,术后20天出院。 Esophageal carcinosarcoma is very rare. Since the first report of He-rxheimer in 1918, about 50 cases of domestic literature have been reported so far. The author has treated one case and reported as follows. Case summary Patient Male, 65 years old. More than one month of progressive dysphagia, no special findings were found in physical examinations and routine tests. Esophageal barium meal examination revealed that the lower esophagus was equivalent to the 8th and 9th thoracic vertebrae and had a stenosis of about 6cm in length. The mucosa was rough, the edges were irregular, and the expectorant was slow. . Squamous cell carcinomas were found on the pull-net. Fiber-optic esophagoscopes entered from 28 cm to 33 cm away from the incisor teeth. A fleshy tumor bulged into the lumen. The basement was wide and the surface was eroded. Biopsy diagnosis: Esophageal squamous cell carcinoma, resection of esophageal cancer, esophagogastric end-to-end arch anastomosis anastomosis, smooth operation, and discharged 20 days after operation.