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原发性食管恶性淋巴瘤罕见,本院遇到1例,报告如下: 患者男性,61岁,住院号49568,因进行性吞咽困难3月于1989年3月8日入院.当年1月初,患者感进食梗噎,后渐渐加剧并伴有胸骨后隐痛。至入院时仅能进食半流质,偶伴有呕吐。查体:一般情况可,双锁骨上及全身浅表淋巴结无肿大,心肺(一),腹平软,肝脾肋下来及.X线吞钡片见食管中下段7cm左右充盈缺损,病变区粘膜变平,有颗粒状物。提示食管中下段平滑肌瘤或肉瘤可能。食管拉网涂片未找到癌细胞.纤维食管镜检查示食管
Primary lymphoma of the esophagus is rare. One case was reported in this hospital. The report was as follows: The patient was male, 61 years old. The hospital number was 49568. He was admitted to hospital on March 8, 1989 due to progressive dysphagia. He was admitted to hospital in early January of that year. The sense of eating stalks was gradually exacerbated and accompanied by retrosternal pain. Only half fluids can be eaten on admission and occasional vomiting. Physical examination: In normal condition, there is no enlargement of superficial lymph nodes on double clavicle and body, cardiopulmonary (I), abdominal soft, and ribs down of liver and spleen. X-ray swallow tablet shows filling defect of about 7 cm in the middle and lower esophagus. The mucous membrane is flattened and has granules. Tips may be in the lower esophageal leiomyoma or sarcoma. Esophageal mesh smear did not find cancer cells. Fiber esophagoscopy showed esophageal