论文部分内容阅读
患者男,73岁,上腹部不适10余年,呕吐、进食困难2周于1999年12月27日在我院门诊行内窥镜检查示:食管中段(距门齿20cm)粘膜向腔内呈瘤状突出,质硬、边界不清、表面凹凸不平、部分呈瘤状突出、表面糜烂,易出血、质脆;胃角部见2.0cm×3.0cm大小溃疡,底部污秽、周边粘膜不规则隆起.镜下观察:食管粘膜癌细胞呈巢状、片块状不规则增生,细胞有异型,可见细胞间桥(图1).胃窦部粘膜癌细胞呈不规则腺样结构,上皮细胞呈柱状,极向稍紊乱,分化较好,可见病理性核分裂象(图2).病理诊断:食管鳞状细胞癌.胃高分化腺癌,患者因高龄等原因未住院手术.
The patient was male, 73 years old, with upper abdominal discomfort for more than 10 years, vomiting and eating difficulties for 2 weeks on December 27, 1999. The endoscopic examination in our hospital showed that the mucosa of the middle esophagus (distance from incisor 20cm) protruded to the cavity. , hard, unclear borders, uneven surface, some tumor-like prominent, surface erosion, easy bleeding, brittle; stomach see 2.0cm × 3.0cm size ulcers, dirt at the bottom, surrounding mucosa irregular uplift. Observations: The esophageal mucosal cancer cells showed nested, irregular patchy hyperplasia, and the cells were heterogeneous, showing an intercellular bridge (Figure 1). The mucosal cancer cells of gastric antrum showed an irregular adenoid structure, and the epithelial cells were columnar and polar. Slightly disordered, well-differentiated, visible pathological mitotic figures (Figure 2). Pathological diagnosis: esophageal squamous cell carcinoma. Gastric well-differentiated adenocarcinoma, patients due to age and other reasons are not hospitalized.