食管癌肉瘤的临床及X线诊断

Clinicol-Radiologic Diagnosis of the Carcinosarcoma of the Esophagus

目的:分析食管癌肉瘤的临床X线特征,提高对本病的认识。方法:9例食管癌肉瘤行钡餐检查。结果:本病好发于食管中段,以腔内息肉样充盈缺损并伴有分叶、局部食管扩张为特征,它可以带蒂,一般不引起梗阻。结论:本病临床症状出现晚,病史较长,结合钡餐检查的腔内息肉样充盈缺损,应考虑食管癌肉瘤,本病均需组织学检查才能确诊。

Objective Analysing the clinical-radiologic characters of the carcinosarcoma of the esophagus and improving the knowledge of the disease. Methods Nine cases of carcinosarcoma of the esophagus were examined with Barium meal. Results This lesion was characterized by a polypoid intraluminal mass lesion in the middle third of the esophagus with a lobulate surface and local expansion of the esophagus. The lesion may have pedunculate and cause relatively little obstruction despite its bulk. Conclusions If a case has long history, late clinical symptoms and intraluminal polypoid-like filling-defect, it should be consided the possibility of carcinosarcoma. Almost the lesion always reguires histological verification.