Roach E, Barr G
Repatriation General Hospital, Concord, New South Wales, Australia.
J Gastroenterol Hepatol. 1993 Jan-Feb;8(1):107-9. doi: 10.1111/j.1440-1746.1993.tb01182.x.
A 67 year old male caucasian clerical worker with a background of long-standing gastro-oesophageal reflux-like dyspepsia and bronchiectasis presented to a tertiary hospital gastroenterology unit with a recent onset of dysphagia. An initial diagnosis of achalasia was made and within 1 year an established verrucous carcinoma of the upper oesophagus had developed. The tumour was inoperable due to tracheal invasion and therefore palliative treatment was given. The patient developed a tracheo-oesophageal fistula and died of pneumonia. Thus, verrucous squamous cell carcinoma of the oesophagus can occur with achalasia.
一名67岁的男性白种人文职人员，有长期类似胃食管反流的消化不良和支气管扩张病史，因近期出现吞咽困难就诊于一家三级医院的胃肠病科。最初诊断为贲门失弛缓症，1年内食管上段发展为确诊的疣状癌。由于肿瘤侵犯气管，无法进行手术，因此给予了姑息治疗。患者出现气管食管瘘，死于肺炎。因此，食管疣状鳞状细胞癌可与贲门失弛缓症同时发生。
