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临床资料患者,男,24岁。因进食困难3年余入院,查体未发现明显异常。上消化道X线钡餐检查示:食管中下段迂曲,自右侧绕行,上端食管扩张,贲门区-食管下段见枣形充盈缺损,边缘较光整(图1)。胸部CT示:后纵隔-右侧胸腔内可见巨大软组织肿块,最大截面积9.1 cm×8.3 cm,累及食管全程,邻近肺不张(图2)。胃镜示:食管管腔多处狭窄,黏膜完整,未见溃疡及隆起性病变,黏膜活检可见正常鳞状上皮及少量淋巴细胞浸润。入院后完善术前检查示无手术禁忌证,于2013年5月行
Patients with clinical data, male, 24 years old. Due to eating difficulties more than 3 years admitted to the hospital, physical examination found no obvious abnormalities. Upper gastrointestinal barium X-ray examination showed: tortuous middle and lower esophagus, detour from the right, the upper esophageal dilatation, cardia area - lower esophageal see jujube-shaped filling defect, the edge is more polished (Figure 1). Chest CT showed: The posterior mediastinum - the right side of the chest visible huge soft tissue mass, the maximum cross-sectional area of 9.1 cm × 8.3 cm, involving the entire esophagus, adjacent to atelectasis (Figure 2). Gastroscopy showed: multiple esophageal stenosis, mucosal integrity, no ulcers and bulging lesions, mucosal biopsy shows normal squamous epithelium and a small amount of lymphocyte infiltration. Perfection after admission Preoperative examination showed no surgical contraindications, in May 2013 line