患者男性 ,6 9岁 ,因吞咽困难 3个月于 2 0 0 1年1 1月 3 0日入院。患者 3个月前出现进食时胸骨后梗阻感 ,有向前推的压迫感 ,尤以进硬食为剧 ,吞咽较困难 ,近日逐渐加重。患者自诉 3年前数月内曾突发大量皮疹 ,褐黑色 ,以躯干为多 ,较痒 ,3年来逐渐增大。体检 :全身浅表淋巴结 The patient, male, was 69 years old and was admitted to the hospital for three months because of dysphagia on January 30, 2001. Patient 3 months ago, there was a feeling of sternum obstruction after feeding, pushing forward the feeling of oppression, especially into the hard food for the drama, swallowing more difficult, has gradually increased recently. Patient self-indictment 3 months ago a large number of sudden rash occurred within a few months, brown, more to the trunk, more itchy, 3 years gradually increased. Physical examination: systemic superficial lymph nodes