1　病例报告患者男,49岁,因进食梗噎2个月入院。钡餐检查见食管第8胸椎椎体平面有一偏心性狭窄段,局部粘膜纹理中断、破坏;右后方有一不规则龛影,钡剂通过受阻,近段食管轻度扩张。初诊为食管中段癌。后行纤维胃镜检查见食管27～32cm处右侧壁粘膜隆起,中央凹陷溃烂、出血、质硬, A case report Male patient, 49 years old, admitted to hospital for 2 months due to eating stool. Barium meal examination found in the esophageal plane of the thoracic vertebral 8 a eccentric stenosis, local mucosal texture interrupted, destroyed; right rear there is an irregular niche, barium through blocked, proximal esophageal mild dilatation. The first diagnosis of esophageal cancer. Posterior fibrinoscopy see the esophagus 27 ~ 32cm at the right side of the mucosal wall uplift, central depression ulceration, bleeding, hard,