Esophagus cancer is inchoateSymptom

The pathology configuration of inchoate esophagus cancer can be divided for insidious model, erosion, spot piece with lacteal head dummy, among them with spot piece the commonnest, occupy the 1/2 left and right sides of inchoate esophagus cancer. The symptom of inchoate esophagus cancer has:

(1) swallows stalk choke feeling. The commonnest, can disappear by oneself or have a relapse, do not affect take food, often happen when patient mood is fluctuant, be easily by mistake functional sex symptom.

(The He Jian after 2) is sternal dash forward next ache. More see, swallow food from time to tome breastbone hind or sword dash forward below painful, its property can show burn pattern, pinprick appearance or pull draw shape, in order to swallow coarse, glowing or excitant food is most remarkable, first when show intermittence, when cancer swollen invade reach around organization or have when penetrating, can have acuteness and those who last is aching, aching place often agrees not completely with place of the pathological changes inside esophagus, ache can be alleviated temporarily by solution painful agent.

(3) food stops feeling and eyewinker feeling. Swallow food or when watering, have food be issued to lower levels slow the feeling that stops, and breastbone hind is constrictive feeling or food conglutinate feel at feeding tube wall to wait, feed finish disappear, semiotic happening place agrees with place of the pathological changes inside esophagus more.

(4) pharynx laryngeal is dry with constrictive feeling. Swallow dry. Coarse food particularly apparent, the happening of this symptom often also is concerned with mood wave motion of the patient.

(5) other symptom. After a few patient can have breastbone, bilge frowzily unwell, the symptom such as backache and belch. These inchoate symptoms do not provide particularity, a lot of other esophagus are ill all or produce similar symptom, but should take these symptoms seriously, check in time. Examination of the lens inside first selection is most handy and at present reliable, anguish is little also, lens falls to make vivid check to doubtful focus of a disease inside, very important to diagnose.

　 Be in clinical it is as easy as esophagus cancer to go up promiscuousDiseaseBasically have the following kinds:

　 1. Esophagitis reachs esophagusEpithelialSpend hyperplasia again

In clinical on think esophagus is epithelial the pathological changes of cancerous early days that spending hyperplasia again is esophagus cancer. This kind of patient often has the symptom of cancer of similar and inchoate esophagus, x line examination often does not have unusual discovery, can pull net cytology to check through esophagus, lens coloring is reached inside inside lens is supersonic the examination undertakes differentiating, but constant need checks regularly.

　　 2.Be short of esophagitis of sex of iron sex false film

It is a female more, except swallow outside difficulty, passable anaemia of low pigment sex, glossitis, hydrochloric acid in gastric juice is lacked and cellule opposes the manifestation such as armour.

　　 3.EsophagusCardia is broken atony disease

Be by the disease of be caused by of obstacle of function of esophagus nerve muscle, be like esophagus convulsion, cardia of difficulty of nerve sex deglutition, esophagus is broken atony disease, especially cardia is broken atony disease can be accompanied sometimes have cancer of cardia ministry gland, patient expression is deglutition difficulty, ministry of body of esophagus of the expression on X line does not have mucous membrane of systole and peristalsis, esophagus ministry of smooth, cardia shows stricture of appearance of " beak " , its fit often is intermittence, course of diseases is longer, semiotic progress is slow. Apply the dilate that can make when spasmolysis agent.

　 4. All round esophagus organic pathological changes

The blood-vessel that the gender presses to change esophagus vicinity outside esophagus is congenital unusual, heart increases, Qu Yan of Yu of lymph node enlargement of tumour of the thyroid gland inside aorta tumour, bosom, mediastinum, mediastinum, aorta bend is long etc, although the patient has deglutition difficulty, but X line barium meal checks what can show esophagus bright slips to approach mark, grain of esophagus mucous membrane is normal and in good condition. Microscope is differentiated not hard with esophagus cancer photograph.

　　 5.Esophagus is benign and narrow

Benign stricture is esophagus more the sequela with chemical burnable sex, but by swallow caustic, esophagus by accident operation of stomach of injury of burnable, eyewinker, esophagus is caused, also may be esophagitis, chronic ulcer the scar that cause is narrow be caused by. Course of diseases is longer, swallow difficult development accentuates no longer namely to certain level. Check via enquiring medical history and X line barium meal in detail can differentiate. X line swallows baric examination to be able to see esophagus stricture, mucous membrane disappears, tube wall is inflexible, stricture and predestined relationship of normal esophagus Duan Bian are orderly, the picture that do not have barium is incomplete proof.

　　 6.Flowing flesh tumour is esophagus benign tumor

Can produce any position of esophagus, see more at issueing paragraph of esophagus, because it is the tumour outside mucous membrane, progress is slow, course of diseases is longer, the symptom is lighter, swallow difficulty is intermittence more, can not have self-conscious symptom sometimes. X line barium meal checks a visible and smooth half moon plentiful to be short of caustic, the brim is orderly, all round mucous membrane lines is normal.

Lens examination sees esophagus inside there is apophysis sex swollen thing inside antrum, exterior mucous membrane has colour and lustre to change, but mucous membrane light is whole without erosion and ulcer, lens connects outdated to have slip feeling inside. Supersonic examination expression is lens inside state clarity, appearance the low echo acoustic image with smooth, neat outline, can discern belong to why layer.

　 7. Esophagus polyp

Belong to esophagus benign tumor, much hair at the neck paragraph near flesh of pharynx of esophagus, annulus. Lower level of mucous membrane of polypous traceable esophagus, to the canal irruptive sex grows inside antrum, often have the base of a fruit with one differ accident. Antrum of esophagus of place of visible pathological changes shows X line shuttle form is intumescent, esophagus antrum dilate is carried on not apparent, baric agent has billabong in tumor surface or slant a side wall is passed, dilate of local tube wall and contractive function are good. See occasionally evil change, evil the mucous membrane when changing sees ulcer, need sometimes with antrum inside model esophagus cancer photograph is differentiated. Other and benign tumor, be like adenoma of hemangioma of tumour of born of the same parents of parent of flesh of esophagus grain cell, esophagus, esophagus, all scarce, through esophagus lens examination and organization are checked all but diagnose.

　 8. Gastric esophagus countercurrent is ill

It is the disease performance that countercurrent of content of content of duodenum pointing to a stomach causes into esophagus reach deglutition difficulty sorely for sex of queasy, heartburn, deglutition. Countercurrent content often enters esophagus to be able to cause inflammation of mucous membrane sex. Lens examination can have catarrh disease debaucjed or ulcer inside, but discover without tumor evidence.

　 9. Hysteria ball disease

See more at young female, from time to tome feeling of eyewinker of appearance of pharynx ministry ball, when taking food, disappear, often cause by mental element. This disease is not had actually implement pathological changes of qualitative sex esophagus, also differentiate not hard with esophagus cancer.

　 10. Other and malignant tumor

The caruncle that be like cancer, caruncle (include caruncle of fibrosarcoma, striated muscle, flowing flesh caruncle) , malign and lymphatic tumour, malign melanin cancer of cell of tumour, bromegrass, its are clinical examination of line of expression, X is seen reach inside lens examination is seen extremely be like esophagus cancer, still need to confirm via organizing pathology to diagnose.

(responsibility edits: Chen Lu)