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在食管平滑肌瘤的基础上并发食管癌的病例文献中有所记载。本文介绍1例食管平滑肌瘤粘膜外摘除20年后,又在该段食管发生癌变的病例供同道参考。 患者女性,56岁。20年前因吞咽困难就诊。食管钡餐见食管上中段左侧有一椭园形软组织块压迫食管壁,食管粘膜皱襞被推移。X线诊断:食管平滑肌瘤(图1),后经手术摘除,病理证实。患者1989年2月再次感到进行性吞咽困难,食管钡餐示平滑肌瘤切除部管壁狭窄、僵硬,并见术后粘连牵拉引起袋状憩室征象。X线诊断 食管癌(图2)。1989年3月4日行纤维胃镜检查并取组织活检为食管鳞状细胞癌。
Esophageal cancer cases are documented in the literature based on esophageal leiomyomas. This article describes one case of esophageal leiomyoma after 20 years of mucosal removal, but also in this section of the esophageal cancer cases for reference. Female patient, 56 years old. Twenty years ago I had a medical consultation for dysphagia. The esophageal barium meal showed an oval shaped soft tissue mass on the left side of the upper esophagus to oppress the esophageal wall and the esophageal mucosal folds were shifted. X-ray diagnosis: esophageal leiomyoma (Figure 1), after surgical removal, confirmed by pathology. In February of 1989, the patient again felt difficulty in swallowing. The esophageal barium meal showed stenosis and stiffness in the wall of the resection of the leiomyoma. He also saw signs of pocket diverticulum caused by adhesion traction. X-ray diagnosis of esophageal cancer (Figure 2). On March 4, 1989, gastroscopy was performed and tissue biopsy was taken as esophageal squamous cell carcinoma.