患者,女,67岁,因吞咽异物感1年,加重伴吞咽困难3个月于2015年5月17日入院。患者1年前吞咽胶囊药物时出现咽部异物感,无明显咽痛、声嘶,无发热、咳嗽、呼吸困难等症状,未诊治;3个月前症状加重,出现吞咽阻挡和吞咽困难,外院胸片示食管异常,故来我院就诊。胸部CT示纵隔内占位;电子胃镜示慢性浅表性胃炎,食管肿物性质待查。以纵隔占位收入院。查体:生命体征平稳,口咽部未见异常;纤维喉镜示鼻咽、口咽、喉咽、 Patient, female, 67 years old, swallowing foreign body sensation for 1 year, aggravated with dysphagia 3 months on May 17, 2015 admitted to hospital. Patients swallowing capsule medicine 1 year ago when the pharyngeal foreign body sensation, no obvious sore throat, hoarseness, no fever, cough, difficulty breathing and other symptoms, not diagnosed and treated; 3 months ago symptoms increased, swallowing blocked and swallowing difficulties, Chest X-ray showed abnormal esophagus, it came to our hospital. Chest CT showed mediastinal space; electronic gastroscopy showed chronic superficial gastritis, esophageal tumor nature to be investigated. Medicament occupy the hospital admission. Physical examination: stable vital signs, no abnormal oropharyngeal; fiber laryngoscope shows nasopharyngeal, oropharyngeal, hypopharyngeal,