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患者,女21岁,进行性吞咽困难二周,伴胸闷。无胸骨后疼痛,无恶心呕吐,不发烧。近期体重明显下降。当地县医院食管吞钡诊断为“食管癌”。发病前一周有食鱼史。检查血常规:Hb100g/L,RBC32×10~(12)/L,WBC8×10~9/L,N74％,E％。食管吞钡:见食管中段3cm粘膜不整,管腔明显狭窄,钡剂通过缓慢。X线诊断为中段食管癌。胸片,双肺、心影,纵膈均无异常。胃镜检查,入镜22cm,见食管左侧壁有一3×3×2.5cm的半球形隆起,表面粘膜光整,轻度充血,无搏动;用活检钳融之有重性感。应用OLYMPUS NM-IK注射针试探性穿刺,抽出淡黄色脓样物少
The patient, female, 21 years old, had progressive dysphagia for two weeks with chest distress. No sternal pain, no nausea and vomiting, no fever. Recent weight loss decreased significantly. Local county hospital esophageal swallow barium diagnosed as “esophageal cancer.” A week before the onset of fish food history. Check blood: Hb100g / L, RBC32 × 10 ~ (12) / L, WBC8 × 10 ~ 9 / L, N74%, E%. Esophageal barium swallow: see the middle of the esophagus 3cm mucosa, lumen stenosis, barium slowly. X-ray diagnosis of esophageal cancer. Chest radiograph, lungs, heart shadow, mediastinal no abnormalities. Gastroscopy, into the mirror 22cm, see the left side of the esophagus has a 3 × 3 × 2.5cm hemispherical bulge, the surface mucosal smoothing, mild congestion, no beating; fusion with a biopsy forceps. Application OLYMPUS NM-IK injection probe tentative puncture, out of yellowish pus-like material less