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继发于贲门失弛缓症的吞咽困难作为鳞状细胞癌的早期表现

Dysphagia due to secondary achalasia as an early manifestation of squamous cell carcinoma.

作者信息

Makker H K, Chisholm R, Rate A J, Bancewicz J, Bernstein A

机构信息

Department of Cardiorespiratory, Hope Hospital, Salford, Manchester, UK.

出版信息

Postgrad Med J. 1995 Aug;71(838):502-4. doi: 10.1136/pgmj.71.838.502.

Abstract

A 59-year-old man, a smoker, presented with features of airflow obstruction due to squamous cell carcinoma of central airways mimicking chronic obstructive airways disease. He also had pronounced dysphagia. Computed tomographic and magnetic resonance imaging scans showed mediastinal tumour invasion but no direct oesophageal involvement. Oesophageal manometry studies revealed that dysphagia was due to the oesophageal motility disorder, secondary achalasia.

摘要

一名59岁男性,有吸烟史,因中央气道鳞状细胞癌出现气流阻塞症状,酷似慢性阻塞性气道疾病。他还伴有明显的吞咽困难。计算机断层扫描和磁共振成像扫描显示纵隔肿瘤侵犯,但无食管直接受累。食管测压研究表明,吞咽困难是由食管动力障碍即继发性贲门失弛缓症引起的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e12e/2398199/245cdd381c88/postmedj00032-0057-a.jpg

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