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食管平滑肌肉瘤比较罕见,国内李德源(1959)首次报告1例,至1991年底约报道40例.我院诊治1例.特报告如下.男性,22岁.因进行性吞咽困难、伴胸闷干咳10天,于1991年5月8日来院.胸片显示左下肺野有10cm×10cm肿块阴影,界限清晰,密度均匀.食管钡餐造影:食管下段受压,呈孤形线状狭窄,长约12cm,周围见有明显软组织块影,其上段高度扩张.5月15日全麻下剖胸探查,见食管下段被10cm×10cm×5cm肿块包绕,表面有多个结节,无明显包膜,血管较丰富.将肿块及累犯之食管一并切除,行弓下食管胃吻合术.术后经过顺利,痊愈出院.病理报告:食管平滑肌肉瘤,无淋巴结转移.
Esophageal leiomyosarcoma is rare. Domestic Li Deyuan (1959) reported 1 case for the first time. By the end of 1991 about 40 cases were reported. One case was diagnosed and treated in our hospital. The special report was as follows. Male, 22 years old. Suffering from dysphagia, chest tightness and dry cough for 10 days , came to the hospital on May 8, 1991. The chest radiograph showed a 10cm × 10cm mass shadow in the left lower lung field, clear boundaries, uniform density. Esophageal barium meal imaging: pressure in the lower esophagus, was isolated linear narrow, about 12cm long, around See a significant soft tissue shadow, the upper part of the height expansion. May 15 under general anesthesia under the perspective of chest exploration, see the lower esophagus was surrounded by 10cm × 10cm × 5cm mass surrounded by multiple nodules on the surface, no obvious capsule, blood vessels compared Enrichment. The lumps and recurrent complications of the esophagus were removed together and the bow under the esophagogastric anastomosis was performed. After a successful operation, they were cured and discharged. Pathology report: esophageal leiomyosarcoma, no lymph node metastasis.