Esophageal cancer is primary in the esophagus cancer, mainly squamous cell carcinoma, adenocarcinoma, undifferentiated small cell carcinoma, sarcoma and so on. However, in practice the diagnosis and treatment, where the esophageal gastric junction occurred in the case of squamous cell cancer were classified as esophageal cancer, in the case is classified as cardia adenocarcinoma. Esophageal cancer mortality in China ranks first in the world, followed by the Americas in Puerto Rico, as well as Singapore, Chile. Romania, the lowest rate.
This article describes the main points of the diagnosis of esophageal cancer
A clinical
1) progressive dysphagia is the most typical symptoms of this disease, manifested not smooth or difficulty eating, usually frequent, but when light weight. To the onset of esophageal invasion and the whole week, then usually for the purpose of sexual difficulty swallowing, and even drip nothing.
2) swallowing pain, difficulty swallowing after eating at the same time, may have substernal burning, dull pain, especially in hot or acidic food intake after apparent ease on their own after a moment.
3) Multi-esophageal reflux in late.
4) weight loss, dehydration, cachexia, Sheng Ya and esophageal perforation caused by late complications are the symptoms.
2 Experimental stifling Check
(1) x ray of esophageal barium meal picking search: esophageal mucosa disorder, fracture, partial luminal stenosis or filling defect, esophageal wall stiffness, creep away, or see the soft tissue shadows.
(2) esophageal cytology picking search: patients with dysphagia should be classified as routine examination, the importance of early diagnosis, the positive rate of up to 90%.
(3) picking up esophagoscopy confirmed the investigations and biopsy pathology: Esophageal endoscopy is always on the x-ray barium meal examination and esophageal cytology still can not be qualitative or location after the time for Fang Cai.
(4) cervical lymph node biopsy.
In short, where more than 40 years of age, there a sense of stagnation after the chest after eating or swallowing difficulties, shall promptly make the examination. If the laboratory examination of any of the three can be a positive diagnosis.
2009年9月5日星期六
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