食管癌英文版.pptVIP

食管癌英文版

ContentAnatomyoftheEsophagusSummaryPathogeny(发病机制)ClinicalfeatureDiagnoseDifferentialdiagnosisExercise

AnatomyoftheEsophagusTheesophagusisamusculartube,whichisadigestiveorganbetweenthethroatandstomach.

PhysiologicalstenosisofesophagusFirst:Thejunctionofthepharynx(咽)andesophagus.Second:locatedinthebackofleftprincipalbronchus.Third:Esophagealhiatus(食管裂孔).

3SectionsoftheesophagusTheuppersegmentThemiddlesegment（Carcinomaoccurmostfrequent）ThelowersegmentTrachealbifurcation(气管分叉)

SummaryCarcinomaoftheesophagusisacommonmalignanttumorthatoccursinapopulationcover40yearsold,andinpredilectionformale(好发于男性).

PrevalenceandmortalityTherearemorethan300,000peopleworldwidediedfromesophagealcancereachyear,and150,000ofthemareChinese.

Pathogeny1.Nitrosamine(亚硝胺)2.Fungus(真菌)3.Vitamindeficiency4.Dietaryhabits

NitrosamineNitrosamines?contentofthese?foods?areveryhigh

ClinicalfeatureInearlystageSymptomsareoftennotobvious,butwhenswallowingthecoarsefood,differentdegreesofuncomfortablefeelingsmayoccur.

ClinicalfeatureInthemiddleandadvancedstageProgressive?dysphagia?(进行性吞咽困难)Whenthetumor?invade?thetrachea,tracheoesophagealfistula(气管食管瘘)Cachexia(恶病质)

Classificationofesophageal?cancer1.Ulcerativetype(溃疡型)2.Mushroomtype(蕈伞型)3.Constrictivetype(缩窄型)4.Medullarytype(髓质型)

Diagnose1.X-ray?barium?meal2.ComputedTomography(CT)3.MagneticResonanceImaging(MR)

1.X-ray?barium?meal(1).EarlystageEsophageal?mucosalfoldsbebeak(粘膜迂曲、断裂)Singleor?multiplesmall?niches(龛影)Limitingfillingdefect(不足充盈缺损)Bariumstream?slowor?temporary?residence(钡剂流动缓慢或一过性滞留)

PostoperationRecur

Small?nodules(小结节)

protrudetype(隆起型)

Early?ulcerativetype

Earlyconstrict