论文部分内容阅读
在一般情况下,食管癌的大体表现多为一种形态。本院收治一例食管低分化鳞癌,肉眼观察“斑块、(?)伞、溃疡”三种形态并存,较少见,报告如下。患者女性,50岁,因进行性吞咽困难5个月入院。检查:T36.9℃,P70次,BP16/10KPa,常规体检无阳性体征发现。X线钡餐检查:食管于主动脉弓下有一5cm不规则狭窄区,僵硬,扩张受限。诊断:中段食管癌。于1986年6月25日在气管内插管紧闭全身麻醉下行剖胸探查术,于主动脉弓至左肺下静脉食管处见有一6×3×3cm肿块。分离后行全胸段食管切除及颈部食管、胃带蒂横结肠间置术。术后35天痊愈出院。病理检查:剖开食管段长10cm,宽5cm,
In general, the general performance of esophageal cancer is mostly one form. In this hospital, one case of poorly differentiated squamous cell carcinoma of the esophagus was observed. The appearance of “plaques, umbrellas and ulcers” coexisted with the naked eye, and was rare. The report is as follows. The female patient, 50 years old, was hospitalized for 5 months due to progressive dysphagia. Check: T36.9°C, P70 times, BP16/10KPa, No positive signs found in routine physical examination. X-ray barium meal examination: The esophagus has a 5cm irregular narrow area under the aortic arch, which is stiff and limited in expansion. Diagnosis: Middle esophageal cancer. On June 25, 1986, tracheal exploration was performed under general anesthesia with endotracheal intubation. A 6 x 3 x 3 cm mass was seen from the aortic arch to the left lower esophagus. After the separation, a full thoracic esophagectomy and cervical esophageal and gastric pedicled transverse colon placement were performed. 35 days after surgery he was discharged. Pathological examination: cut open esophageal section 10cm, width 5cm,