Inoshita T, Youngberg G A, Thur De Koos P
J Surg Oncol. 1983 Sep;24(1):49-52. doi: 10.1002/jso.2930240112.
A 65-year-old man presented with progressive dysphagia, which proved to be the first clinical manifestation of a peripheral lung carcinoma (secondary to a submucosal metastasis in the esophagus). The lung tumor, hidden by the diaphragm on chest x-ray, was not suspected until a thoracotomy was done. Although dysphagia is known to be the first manifestation of bronchogenic carcinomas, such presentation in a case of a peripheral lung carcinoma has not been well described. This case is reported with a review of the literature for cases with dysphagia secondary to a metastatic tumor in the esophagus.
一名65岁男性出现进行性吞咽困难，结果证实这是周围型肺癌（继发于食管黏膜下转移）的首个临床表现。胸部X光片上，肺部肿瘤被膈肌遮挡，直到进行开胸手术才被发现。虽然已知吞咽困难是支气管源性肺癌的首发表现，但周围型肺癌出现这种表现的情况尚未得到充分描述。现报告该病例，并回顾文献中食管转移性肿瘤继发吞咽困难的病例。
