Hansen H A, Haun C L, Mansour K A
Am Surg. 1982 Apr;48(4):175-9.
This report describes our experience with six patients with dysphagia as the sole manifestation of radiographic, inconspicuous primary lung cancer and well-defined esophageal lesion by barium swallow. Esophagograms suggested leiomyoma, benign esophageal stricture, duplication cyst, achalasia, and primary carcinoma of the esophagus. Careful evaluation of the chest radiographs in all patients presenting with dysphagia is emphasized. The majority of esophageal findings are subcarinal and bronchoscopy should be considered essential in the workup of these patients.
本报告描述了我们对6例吞咽困难患者的诊治经验，这些患者的影像学表现仅为隐匿性原发性肺癌，吞钡检查显示食管病变边界清晰。食管造影提示平滑肌瘤、良性食管狭窄、重复囊肿、贲门失弛缓症和食管癌。强调对所有吞咽困难患者的胸部X线片进行仔细评估。大多数食管病变位于隆突下，支气管镜检查应被视为这些患者检查的必要手段。
