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自1904年Hansemann首次报道食管癌肉瘤以来,目前国外仅报道70余例,国内近40例,我院遇一例,现报道如下。 病人,男,49岁,系化肥厂工人。因进行性吞咽困难40天,拟食管癌收治。体检未发现明显异常,双侧锁骨上淋巴结不大。首次食管钡餐检查曾怀疑为食管平滑肌瘤。金属食管镜检查,距门齿35 cm处见后侧壁有肿物突向管腔,灰白色,基底较宽,触之易出血,局部管腔有轻度狭窄。钳取活检,报告为食管鳞状细
Since Hansemann first reported on esophageal carcinosarcoma in 1904, only more than 70 cases have been reported abroad, nearly 40 cases in China, and one case in our hospital. The report is as follows. The patient, male, 49 years old, is a fertilizer plant worker. Due to progressive dysphagia for 40 days, esophageal cancer was treated. No obvious abnormalities were found on the physical examination, and bilateral supraclavicular lymph nodes were not large. The first esophageal barium meal examination was suspected as esophageal leiomyoma. Metal esophagoscopy, from the incisor 35 cm seen in the posterior wall of the tumor protruding to the lumen, gray, broad base, easy to touch bleeding, partial lumen with mild stenosis. Clamp biopsy, reported as esophageal squamous