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患者,女,41岁,无诱因进食后哽噎3个月余,伴胸骨后疼痛2周。体格检查和常规血液生化检查无阳性发现。上消化道钡餐检查提示:食管下段钡剂通过稍缓慢,局部管腔向右推移,管腔充盈欠佳,累及段长约8 cm(图1)。胸部增强CT检查提示:左后下纵隔-心隔角处见巨大不规则肿块影,食管管腔推移及偏心性狭窄(图2)。胃镜检查提示:食管距门齿32 cm前壁见一巨大、广基底半球状隆起,表面光滑,中央无溃疡,有黏膜桥
The patient, female, 41 years old, had no incentive to eat more than 3 months after eating, with chest pain after 2 weeks. Physical examination and routine blood biochemical tests found no positive. Upper gastrointestinal barium meal examination Tip: lower esophageal barium through a slightly slow, local lumen to the right, lumen filling poor, involving the length of about 8 cm (Figure 1). Chest enhanced CT examination showed: the left posterior mediastinum - heart rate angle at the large irregular mass, esophageal lumen and eccentric stenosis (Figure 2). Gastroscopy Tip: esophageal anterior incisors 32 cm see a huge anterior, broad basal hemispherical bulge, smooth surface, the central non-ulcer, a mucosal bridge