《食管癌(英文版).pptx》由会员分享，可在线阅读，更多相关《食管癌(英文版).pptx（39页珍藏版）》请在三一文库上搜索。
1、Carcinoma of Esophagus,Speaker:LiuRan,食管癌(英文版),Content,Anatomy of the Esophagus Summary Pathogeny(发病机制) Clinical feature Diagnose Differential diagnosis Exercise,食管癌(英文版),Anatomy of the Esophagus,The esophagus is a muscular tube, which is a digestive organ between the throat and stomach.,食管癌(英文版),Ph
2、ysiological stenosis of esophagus,First: The junction of the pharynx(咽) and esophagus. Second: located in the back of left principal bronchus. Third: Esophageal hiatus(食管裂孔).,食管癌(英文版),3 Sections of the esophagus,The upper segment The middle segment （Carcinoma occur most frequent） The lower segment,T
3、racheal bifurcation (气管分叉),食管癌(英文版),Summary,Carcinoma of the esophagus is a common malignant tumor that occurs in a population cover 40 years old ,and in predilection for male(好发于男性).,食管癌(英文版),Prevalence and mortality,There are more than 300,000 people worldwide died from esophageal cancer each year
4、 , and 150,000 of them are Chinese.,食管癌(英文版),Pathogeny,1. Nitrosamine(亚硝胺) 2. Fungus(真菌) 3. Vitamin deficiency 4. Dietary habits,食管癌(英文版),Nitrosamine,Nitrosaminescontent of thesefoodsare very high,食管癌(英文版),Clinical feature,In early stage Symptoms are often not obvious, but when swallowing the coarse
5、 food ,different degrees of uncomfortable feelings may occur.,食管癌(英文版),Clinical feature,In the middle and advanced stage Progressivedysphagia (进行性吞咽困难) When the tumorinvadethe trachea , tracheoesophageal fistula(气管食管瘘) Cachexia(恶病质),食管癌(英文版),Classification of esophagealcancer,1. Ulcerative type(溃疡型)
6、 2. Mushroom type(蕈伞型) 3. Constrictive type(缩窄型) 4. Medullary type(髓质型),食管癌(英文版),Diagnose,1. X-raybariummeal 2. Computed Tomography(CT) 3. Magnetic Resonance Imaging(MR),食管癌(英文版),1. X-raybariummeal,(1). Early stage Esophagealmucosal folds be beak(粘膜迂曲、断裂) Single ormultiple smallniches(龛影) Limiting f
7、illing defect(局限性充盈缺损) Barium streamslow ortemporaryresidence(钡剂流动缓慢或一过性滞留),食管癌(英文版),Postoperation Recur,食管癌(英文版),Smallnodules(小结节),食管癌(英文版),protrude type(隆起型),食管癌(英文版),Earlyulcerative type,食管癌(英文版),Early constrictive type,食管癌(英文版),(2). Middle and advanced stage,a. Ulcerative type(溃疡型) niche,The sur
8、rounding of the tumor become bulged , and the folds of mucous become damaged. (周围隆起,粘膜皱襞破坏),食管癌(英文版),Filling defect An expand over the tumor,b .Mushroom type,食管癌(英文版),c . Constrictive type,M,63Y, Progressivedysphagia20d,食管癌(英文版),d. Medullary type,广泛侵犯食管全层,形成腔外肿物，管腔狭窄，表面可见溃疡,The carcinoma can encroac
9、h on the whole-layer of esophagus and make a stenosis,with ulceration on it.,食管癌(英文版),2. CT,1. Esophagealwall circular or irregular thickening(5mm). 2. Cavity lump occurred. 3. Paraesophagealfat layerfuzzy,disappear. 4. Peripheralorgan got involvedorlymph node metastasis. 5. Enhanced scanning showed
10、mild enhancement oftumor.,食管癌(英文版),食管癌(英文版),Enhanced scanning,食管癌(英文版),3. MR,There is a synechia(黏连) between the cancer and the aortic arch.,The high signal fat layer exist.,食管癌(英文版),Cancer invade the trachea,T2WI：The fat layer disappeared and the wall of trachea be damaged.,T1W enhance scanning sho
11、ws a lump in the trachea and be enhanced like the carcinoma.,食管癌(英文版),Differential diagnosis,1. Achalasia of cardia and esophagus(食管贲门失弛缓征) 2. Esophageal varices(食管静脉曲张) 3. Leiomyoma of the esophagus(食道平滑肌瘤).,食管癌(英文版),1. Achalasia of cardia and esophagus,Intermittentdysphagia(间歇性吞咽困难) On a widened u
12、pper segment with fluid level Lower esophagus become thin like a beak(鸟嘴征) Without mucosal fold break.,食管癌(英文版),食管癌(英文版),2. Esophageal varices,Have a history of liver cirrhosis, portal hypertension. Beadedfilling defect(串珠样充盈缺损) Enhanced CT scanshowed vascular tortuositygroup remarkable enhancement
13、and delayedenhancement. Barium emptying delay, but no obstruction phenomenon.,食管癌(英文版),食管癌(英文版),3. Leiomyoma of the esophagus(食管平滑肌瘤),Smooth circular cavity filling defect without mucosal fold break and surrounding tissue invasion and metastasis.,食管癌(英文版),食管癌(英文版),Exercise,1. Can u remember the 3 ph
14、ysiological stenosis of esophagus? (In this question u can answer it in Chinese) 2. Please show us the four types of the carcinoma of esophagus. 3. Tell me which esophagus disease it is in the following pictures.,食管癌(英文版),Ulcerative carcinoma,食管癌(英文版),The end,Thank you!,食管癌(英文版),此课件下载可自行编辑修改，供参考！ 感谢你的支持，我们会努力做得更好！,