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病史摘要 男性,66岁。因进行性吞咽困难9月余,于1986年4月1日入院。患者自1985年7月开始感到胸骨后隐痛伴吞咽困难,经x线吞钡及纤维胃镜检查诊断为晚期食管癌,因全身情况较差未能行手术治疗。在外院作放疗及化疗后症状缓解。1986年1月以来,吞咽困难又进行性加重,x线吞钡复查示食管中段有约12cm长的不规则狭窄,胃镜复查在距切牙18cm处食管呈环形狭窄,细径胃镜仅能进入狭窄区2cm(图1、3)活检病理证实为鳞状上皮细
Medical History Abstract Male, 66 years old. He was admitted to hospital on April 1, 1986 due to progressive dysphagia for more than nine months. From July 1985, the patient began to feel pain in the back of the sternum with difficulty in swallowing. He was diagnosed as advanced esophageal cancer by x-ray swallowing and fiberoptic gastroscopy. His surgery was not performed because of poor general condition. Symptoms were relieved after radiotherapy and chemotherapy in the external hospital. Since January 1986, dysphagia has been progressively worsening. X-ray swallowing has shown that the central esophagus has irregular stenosis of about 12cm in length. Gastroscopy is limited to 18cm from the incisor and the narrow esophagus is narrow. The narrow-diameter gastroscope can only enter the stenosis. 2cm (Fig. 1, 3) biopsy confirmed pathological squamous epithelium