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患者,男,46岁,因进行性吞咽困难1月余入院。入院前胃镜检查示:距门齿约23~27 cm后壁见一肿物隆起,表面溃烂,局部充血水肿,质僵硬,易出血;距门齿约32~36cm前壁见一溃疡,周围粘膜呈环堤样隆起,表面覆大量白色絮状物,与粘膜不易分离。上消化道造影:食管吞钡示食管上段(相当于T4~5?
The patient, male, 46 years old, was hospitalized for more than one month because of progressive dysphagia. Gastroscopy before admission showed: about 23 ~ 27 cm from the incisors to see a swelling of the posterior wall of the tumor, ulceration on the surface, local congestion and edema, qualitative stiff, easy to bleed; about 32 ~ 36cm from the anterior incisal wall see an ulcer, the surrounding mucosal ring Embankment uplift, the surface covered a large number of white flocs, and the mucosa is not easy to separate. Upper gastrointestinal angiography: Esophageal barium swallow showed the upper esophagus (equivalent to T4 ~ 5?