食管癌英文课件整理

食管癌英文食管癌英文1ContentAnatomyoftheEsophagusSummaryPathogeny(发病机制)ClinicalfeatureDiagnoseDifferentialdiagnosisExerciseContentAnatomyoftheEsophagu2AnatomyoftheEsophagusTheesophagusisamusculartube,whichisadigestiveorganbetweenthethroatandstomach.AnatomyoftheEsophagusThees3DifferentialdiagnosisT1Wenhancescanningshowsalumpinthetracheaandbeenhancedlikethecarcinoma.Haveahistoryoflivercirrhosis,portalhypertension.Smoothcircularcavityfillingdefectwithoutmucosalfoldbreakandsurroundingtissueinvasionandmetastasis.Esophagealvarices(食管静脉曲张)Trachealbifurcation(气管分叉)Tellmewhichesophagusdiseaseitisinthefollowingpictures.Whenthetumor

invade

thetrachea,tracheoesophagealfistula(气管食管瘘)Onawideneduppersegment

withfluidlevelprotrudetype(隆起型)Constrictivetype(缩窄型)Limitingfillingdefect(局限性充盈缺损)Thesurroundingofthetumorbecomebulged,andthefoldsofmucousbecomedamaged.Theesophagusisamusculartube,whichisadigestiveorganbetweenthethroatandstomach.PhysiologicalstenosisofesophagusFirst:Thejunctionofthepharynx(咽)andesophagus.Second:locatedinthebackofleftprincipalbronchus.Third:Esophagealhiatus(食管裂孔).

DifferentialdiagnosisPhysiolo43SectionsoftheesophagusTheuppersegmentThemiddlesegment

（Carcinomaoccurmostfrequent）

ThelowersegmentTrachealbifurcation(气管分叉)3SectionsoftheesophagusTh5SummaryCarcinomaoftheesophagusisacommonmalignanttumorthatoccursinapopulationcover40yearsold,andinpredilectionformale(好发于男性).SummaryCarcinomaoftheesopha6PrevalenceandmortalityTherearemorethan300,000peopleworldwidediedfromesophagealcancereachyear,and150,000ofthemareChinese.PrevalenceandmortalityThere7Pathogeny1.

Nitrosamine(亚硝胺)2.Fungus(真菌)3.Vitamindeficiency4.DietaryhabitsPathogeny1.Nitrosamine(亚硝胺)8

NitrosamineNitrosamines

contentofthese

foods

areveryhighNitrosamineNitrosamines

conte9Clinicalfeature

InearlystageSymptomsareoftennotobvious,butwhenswallowingthecoarsefood,differentdegreesofuncomfortablefeelingsmayoccur.ClinicalfeatureInearlystag10ClinicalfeatureInthemiddleandadvancedstageProgressive

dysphagia

(进行性吞咽困难)Whenthetumor

invade

thetrachea,tracheoesophagealfistula(气管食管瘘)Cachexia(恶病质)ClinicalfeatureInthemiddle11Classificationofesophageal

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

c12Diagnose1.X-ray

barium

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

barium

meal131.X-ray

barium

meal(1).EarlystageEsophageal

mucosalfoldsbebeak(粘膜迂曲、断裂)Singleor

multiplesmall

niches(龛影)Limitingfillingdefect(局限性充盈缺损)Bariumstream

slowor

temporary

residence(钡剂流动缓慢或一过性滞留)1.X-ray

barium

meal(1).Early14PostoperationRecurPostoperation15Small

nodules(小结节)Small

nodules(小结节)16nicheProgressive

dysphagia

(进行性吞咽困难)Thesurroundingofthetumorbecomebulged,andthefoldsofmucousbecomedamaged.DietaryhabitsThemiddlesegmentDifferentialdiagnosisLoweresophagusbecomethinlikeabeak(鸟嘴征)Vitamindeficiency（Carcinomaoccurmostfrequent）Second:locatedinthebackofleftprincipalbronchus.T2WI：Thefatlayerdisappearedandthewalloftracheabedamaged.InearlystageWhenthetumor

invade

thetrachea,tracheoesophagealfistula(气管食管瘘)T1Wenhancescanningshowsalumpinthetracheaandbeenhancedlikethecarcinoma.protrudetype(隆起型)nicheprotrudetype(隆起型)17Early

ulcerativetypeEarly

ulcerativetype18Trachealbifurcation(气管分叉)ClinicalfeaturePhysiologicalstenosisofesophagusInthemiddleandadvancedstageParaesophageal

fatlayer

fuzzy,

disappear.DietaryhabitsLimitingfillingdefect(局限性充盈缺损)Thecarcinomacanencroachonthewhole-layerofesophagusandmakeastenosis,withulcerationonit.Thecarcinomacanencroachonthewhole-layerofesophagusandmakeastenosis,withulcerationonit.EnhancedscanningT2WI：Thefatlayerdisappearedandthewalloftracheabedamaged.Tellmewhichesophagusdiseaseitisinthefollowingpictures.ClinicalfeatureHaveahistoryoflivercirrhosis,portalhypertension.EarlyconstrictivetypeTrachealbifurcation(气管分叉)Ea19(2).Middleandadvancedstagea.Ulcerativetype(溃疡型)

niche

Thesurroundingofthetumorbecomebulged,andthefoldsofmucousbecomedamaged.(周围隆起,粘膜皱襞破坏)(2).Middleandadvancedstage20FillingdefectAnexpandoverthetumorb.MushroomtypeFillingdefectb.Mushroomtyp21c.ConstrictivetypeM,63Y,Progressive

dysphagia

20dc.ConstrictivetypeM,63Y,Pr22d.Medullarytype广泛侵犯食管全层,形成腔外肿物，管腔狭窄，表面可见溃疡Thecarcinomacanencroachonthewhole-layerofesophagus

andmakeastenosis,withulcerationonit.d.Medullarytype广泛侵犯食管全层,形成腔外232.CT1.Esophageal

wallcircularorirregularthickening(>5mm).2.Cavitylumpoccurred.3.Paraesophageal

fatlayer

fuzzy,

disappear.4.Peripheral

organgotinvolved

or

lymphnodemetastasis.5.Enhancedscanningshowed

mildenhancementof

tumor.2.CT1.Esophageal

wallcircul24食管癌英文课件整理25EnhancedscanningEnhancedscanning263.MRThereisasynechia(黏连)betweenthecancerandtheaorticarch.Thehighsignalfatlayerexist.3.MRThereisasynechia(黏连)b27CancerinvadethetracheaT2WI：Thefatlayerdisappearedandthewalloftracheabedamaged.T1Wenhancescanningshowsalumpinthetracheaandbeenhancedlikethecarcinoma.CancerinvadethetracheaT2WI：28Differentialdiagnosis1.Achalasiaofcardiaandesophagus(食管贲门失弛缓征)2.Esophagealvarices(食管静脉曲张)3.Leiomyomaoftheesophagus

(食道平滑肌瘤).Differentialdiagnosis1.Achal291.Achalasiaofcardiaandesophagus

Intermittent

dysphagia(间歇性吞咽困难)Onawideneduppersegment

withfluidlevelLoweresophagusbecomethinlikeabeak(鸟嘴征)Withoutmucosalfoldbreak.1.Achalasiaofcardiaandeso30食管癌英文课件整理312.EsophagealvaricesHaveahistoryoflivercirrhosis,portalhypertension.Beaded

fillingdefect(串珠样充盈缺损)EnhancedCTscan

showed

vasculartortuosity

groupremarkableenhancementanddelayed

enhancement.Bariumemptyingdelay,butnoobstructionphenomenon.2.EsophagealvaricesHaveahi32食管癌英文课件整理33Thereisasynechia(黏连)betweenthecancerandtheaorticarch.Theesophagusisamusculartube,whichisadigestiveorganbetweenthethroatandstomach.DifferentialdiagnosisProgressive

dysphagia

(进行性吞咽困难)T1Wenhancescanningshowsalumpinthetracheaandbeenhancedlikethecarcinoma.Whenthetumor

invade

thetrachea,tracheoesophagealfistula(气管食管瘘)Intermittent

dysphagia(间歇性吞咽困难)Clinicalfeature广泛侵犯食管全层,形成腔