Meguro E, Nakamura R, Murakami M, Sugimura Y, Ishida K, Asahi H, Saito K
Department of Surgery I, Iwate Medical University, Morioka, Japan.
Nihon Geka Gakkai Zasshi. 1995 Apr;96(4):245-9.
Dysphagia suddenly progressed in a 69-year-old woman who had a 50-year history of intermittent difficulty in swallowing solid food. A thick circumferential who in the upper esophagus was extensive enough to be the cause of dysphagia. There was another thin semicircular web in the pharynx. Bouginage resulted in only 6-months relief of symptoms, and the same esophageal who was reformed with the same severe symptoms 3 years later. Surgical resection of the esophageal web was performed. Extensive pharyngeal carcinoma was found 4 years after surgery. She died of heart failure during combination therapy of irradiation and chemotherapy.
一名69岁女性，有50年间断性吞咽固体食物困难的病史，其吞咽困难突然加重。食管上段有一个粗大的环形膈膜，范围广泛，足以导致吞咽困难。咽部还有另一个薄的半圆形膈膜。探条扩张仅使症状缓解了6个月，3年后同样的食管膈膜复发，症状同样严重。遂行食管膈膜手术切除。术后4年发现广泛的咽癌。她在放疗和化疗联合治疗期间死于心力衰竭。
