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1病例报告患者,男,33岁,患者20d前恶心呕吐后发现口腔内肿物,咽部异物感明显,偶有憋气感,经吞咽后口咽部肿物消失,异物感消失。患者无咽痛、无咯血、无声音嘶哑,无反酸等症状,患者近期无体重减轻现象。曾就诊于某三甲医院,检查纤维胃镜示食管内巨大肿物,表面光滑,局部可见灰蓝色血管,由食管入口一直延续至食管中上段距门齿25cm处。诊断为:食管入口肿物,拟行颈部开放入路行肿物切除。由于患者年龄较轻,未接受开放手术。
1 case report Patients, male, 33 years old, 20 days before the patient was found to have nausea and vomiting, intraoral lesions, pharyngeal foreign body sensation, occasional breath holding, after swallowing the oropharyngeal mass disappeared, foreign body sensation disappeared. Patients without sore throat, no hemoptysis, no hoarse voice, no acid reflux and other symptoms, the recent weight loss in patients with no phenomenon. Visited a top three hospital, check the fiber gastroscopy showed a huge tumor within the esophagus, the surface smooth, partially visible gray-blue blood vessels from the esophageal portal has been extended to the upper esophagus at 25cm away from incisors. Diagnosis: esophageal tumor entrance, the proposed line of neck open approach tumor resection. As the patient is younger, he has not undergone open surgery.