患者男,58岁。因进行性吞咽困难14个月就诊。1年以前,患者无明显诱因地出现进食后胸骨区灼痛感,无咳嗽、发热等表现,未诊治。病情进行性加重,近2个月进食、饮水难以下咽,伴呕吐,呈间断性发作。食管钡餐造影,示平T8、9、10见10cm粘膜破坏,充盈缺损,呈乳头巨细胞瘤形明显增粗的巨 Male patient, 58 years old. Difficulties in progressive swallowing for 14 months. One year earlier, the patient had no significant cause of burning sensation in the sternal region after eating, no cough, fever, etc., without diagnosis and treatment. Exacerbation of the disease, eating in the past 2 months, drinking water is difficult to swallow, with vomiting, intermittent episodes. Obstruction of esophageal barium meal, T8, 9, 10 see 10cm mucosal destruction, filling defect, showed a giant thickening of the papillary giant cell tumor shape