原发性食管腺癌罕见,本院收治两例,报道如下: 例1,男,38岁,进食感胸骨后疼痛不适,偶噎已三个月,于1986年12月10日入院,当时能进普食。食管钡餐见中段有6厘米之充盈缺损;食管拉网未找到癌细胞;纤维食管镜距门齿29～35厘米见溃疡型肿物,贲门正常,毛刷涂片找到可疑腺癌细胞。手术时见癌肿位于食管中段,瘤下缘距贲门约5厘 Primary esophageal adenocarcinoma is rare. Two cases were reported in this hospital. The following are reported: Case 1, male, 38 years old, suffering from discomfort after eating sternum, even for three months, admitted to hospital on December 10, 1986. Into the general food. The esophageal barium meal had a filling defect of 6 cm in the middle; the esophageal mesh did not find any cancerous cells; the esophageal distance from the incisors was 29 to 35 cm. The ulcerated mass was seen, the fontanelle was normal, and the brush smears found suspicious adenocarcinoma cells. In the operation, the cancer was located in the middle esophagus. The lower edge of the tumor was about 5% of the diameter of the cardia.