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患者男,67岁。因进行性吞咽困难1个月入院。Ⅱ型糖尿病史5年,高血压病史10年,冠心病史1年。入院时查体:右锁骨上有2个肿大淋巴结,直径约0.8cm。上消化道造影:食管胸段见一约7cm狭窄,局部结节状充盈缺损。胃、十二指肠镜检查:距门齿25cm至29cm处粘膜糜烂,约占管腔的4/5,粘膜脆、易出血,取活组织病理检查诊断为食管中段中分化鳞状细胞癌。胸腔MRI:符合中段食管癌的表现,
Male patient, 67 years old. Dysentery was admitted for one month due to progressive dysphagia. The history of type 2 diabetes was 5 years, the history of hypertension was 10 years, and the history of coronary heart disease was 1 year. Examination on admission: There are 2 swollen lymph nodes on the right clavicle with a diameter of about 0.8 cm. Upper gastrointestinal angiography: A stenosis of approximately 7 cm in the esophageal thoracic stenosis and local nodular filling defects. Stomach and duodenoscopy: From the incisors 25cm to 29cm mucosal erosion, accounting for about 4/5 of the lumen, mucosal crisp, easy bleeding, take biopsy diagnosis of the middle esophagus in differentiated squamous cell carcinoma. Thoracic MRI: In line with the performance of middle esophageal cancer,