患者男,57岁。吞咽不适4个月,加重1个月。查体:无明显异常。食管X线钡餐检查显示主动脉弓下2cm处食管后壁有一突出的椭圆形软组织块影,4.5cm×3cm大小,粘膜中断、破坏。对侧管壁柔软。纤维胃镜示距门齿30cm有一菜花样巨大隆起,易出血。活检:粘液癌。1997年3月26日全麻下行剖胸手术。术中见食管中段有一4cm×2cm×2cm大小、质软的肿物,行食管癌切除弓上吻合术。手术顺利。病理报告为食管血管外皮细胞肉瘤。病人痊愈出院。 Male patient, 57 years old. Swallowing discomfort for 4 months, an increase of 1 month. Physical examination: No obvious abnormalities. The esophageal X-ray barium examination showed a prominent elliptic soft tissue block at the posterior wall of the esophagus 2 cm below the aortic arch, 4.5 cm×3 cm in size, and the mucosa was interrupted and destroyed. The opposite side wall is soft. The fiber-optic gastroscope showed a huge uplift of the vegetable pattern at 30 cm from the incisor, which was prone to bleeding. Biopsy: Mucinous carcinoma. March 26, 1997, underwent transthoracic surgery under general anesthesia. During the operation, a 4cm×2cm×2cm size, soft mass was seen in the middle of the esophagus. The operation went smoothly. The pathology report was esophageal vascular sarcoma. The patient was cured and discharged.