贲门腺棘癌临床上少见,作者等手术切除4例,占同期手术治疗贲门癌的0.4％(4/1000),现报告如下。例1,男,50岁。因上腹部饱胀伴进食不畅1年。X线消化道钡餐检查诊断贲门癌,剖左胸手术切除(R_1)。贲门部溃疡型癌5×4.5cm,已外侵浆肌层。病理诊断贲门腺棘癌。术后生存3个月死于肝转移。例二,男,59岁。因食后上腹疼痛和进食受阻 Cardiac cardiac adenocarcinoma is rarely seen clinically. The authors et al. performed surgical resection in 4 cases, which accounted for 0.4% (4/1000) of the surgical treatment for cardiac cancer at the same time. The report is as follows. Example 1, male, 50 years old. Due to full abdominal fullness with poor feeding for 1 year. X-ray digestive barium meal examination diagnosis of cardiac cancer, cut left thoracic surgery (R_1). The gastric cardia ulcerous carcinoma is 5×4.5cm and has been invaded by the muscularis. Pathological diagnosis of cardiac adenocarcinoma. 3 months after surgery died of liver metastasis. Case 2, male, 59 years old. Due to abdominal pain after eating and eating impeded