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目的:探讨食管多原发癌(MPC)的X线钡餐检查及螺旋CT检查诊断价值。方法:回顾性分析18例行X线钡餐检查及螺旋CT检查并经手术病理证实的食管MPC的影像学表现,总结其影像诊断价值。结果:18例食管MPC中,均为双重癌,病变范围以食管中段、下段最多,下段、贲门次之,上段、贲门最少;病理类型以鳞癌居多,腺癌次之,鳞腺癌最少。结论:X线钡餐检查及螺旋CT检查对食管MPC具有重要的诊断价值,影像学检查联合内镜检查能提高其诊断率。
Objective: To investigate the diagnostic value of X-ray barium meal and spiral CT in the diagnosis of multiple primary esophageal cancer (MPC). Methods: The imaging findings of 18 cases of esophageal MPC confirmed by X-ray barium meal examination, spiral CT examination and surgery and pathology were retrospectively analyzed. The diagnostic value of imaging was summarized. Results: All the 18 cases of esophageal MPC were double carcinoma. The lesions ranged from the middle part of esophagus to the lower part of the esophagus. The lower part of the esophagus was the second lesion, followed by the cardia, the upper part and the cardia. The pathological types were squamous cell carcinoma followed by adenocarcinoma with the least adenocarcinoma. Conclusion: X-ray barium meal examination and spiral CT examination of esophageal MPC has important diagnostic value, imaging examination combined with endoscopy can improve the diagnostic rate.