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食管癌肉瘤在临床上非常少见,现将我院一例报告如下;患者,男,42岁,农民。91年5月不明原因进固体食物时出现梗噎感,症状渐加重,于91年9月来我院检查,食管钡透发现食管下段一长约3cm的充盈缺损。食管拉网脱落细胞学检查发现鳞癌细胞。纤维胃镜发现距门齿35cm处一个约1×2cm肿物突出,表面糜烂,易出血,活检亦为鳞状细胞癌。行食管癌根治术。手术所见:食管下段有一3×3cm肿块,质硬,与周围组织粘连,手术顺利。
Esophageal carcinosarcoma is very rare in clinical practice. One case in our hospital is reported as follows; patient, male, 42 years old, farmer. In May of 91, unfamiliar reasons for the appearance of stenotic sensation when entering solid foods, the symptoms became worse. In September of the same year, they came to our hospital for examination. The esophageal fistula found a filling defect of about 3cm in the lower esophagus. Esophageal pull-out cytology revealed squamous cell carcinoma. Gastric endoscopy revealed a 1×2cm tumor protruding from the incisor 35cm, with erosion on the surface and easy bleeding. The biopsy also showed squamous cell carcinoma. Esophageal cancer radical surgery. Surgical findings: There was a 3×3cm mass in the lower esophagus, which was hard and adhered to the surrounding tissue. The operation was smooth.