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目的探讨食管癌同时伴有肺部肿块的处理方法。方法分析16例食管癌同时伴有肺部肿块,经术中或术后病理检查证实为非肿瘤转移患者的临床资料。结果肺隔离症2例,肺结核瘤3例,双肺炎性假瘤2例,双原癌9例。行肺叶切除10例,肺楔形切除2例,病灶切除或活检4例。结论食管癌同时伴有肺部肿块并非都是转移,可能存在多种可能性,应在获得病理诊断的情况下,采取相应的治疗方法。
Objective To investigate the treatment of esophageal cancer accompanied by lung mass. Methods The clinical data of 16 patients with esophageal cancer accompanied by lung mass and confirmed by non-tumor metastasis by intraoperative or postoperative pathological examination were analyzed. Results Two cases of pulmonary sequestration, three cases of pulmonary tuberculosis, two cases of double lung inflammatory pseudotumor and nine cases of double original carcinoma. Line lobectomy in 10 cases, pulmonary wedge resection in 2 cases, excision or biopsy in 4 cases. CONCLUSIONS: Both esophageal and pulmonary masses are not metastasized. There are many possibilities that esophageal cancer should be diagnosed. The corresponding treatment should be taken when pathological diagnosis is obtained.