(A)histology characteristic:The oesophagus cancer occurrence glues the film epithelial base cell at the oesophagus, the great majority is scale-like in shape up the skin cancer(95%), the gland cancer originates an oesophagus even seldom seen, Be located on oesophagus bitter end more.Cancer in the Ben door is much a gland cancer, can also extend to invade oesophagus.
(Two)clinical pathologic cent type
1.In early days big body pathology cent type:
(1)lie low a type:The oesophagus glues a film to only have a light degree Chong blood or glue a film coarseness, the naked eye doesn't easily recognize to use to shed off cytology and organization to cut into slices is diagnosis basis, all is home position cancer, for the at the earliest stage expecting of the oesophagus cancer.
(2)debauched type:Glue film surface is very shallow debauched, the shape size is different, the boundary boundary is clear, and the form is like map.The cancer organization divides worse, home position cancer and invaded in early days each smooth had a half, than the first developed of night.
(3)spot piece type:The surface glues a film to slightly swell up, uneven, the wrinkly plait disappears, year skin tinea kind, pathological changes scope the size is different and develop more late than the ex- type, about the home position cancer has 13, invaded a smooth cancer to have 2 in early days 3.
(4)nipple type:The tumor formation obviously hard knot has like nipplely and have of the elephant take short Di of polyp form, to chamber inside outstanding, the cancer cell divides better, the great majority invaded a smooth cancer in early days, is an earlier period cancer most late of type.
2.Medium later period big body pathology cent type:Check according to the X line and pathologic big body see, being divided into an oesophagus cancer several category types is as follows.
(1)marrow type:The most familiar, have 60% around, the tumor often involves in the oesophagus whole layer, and surround a tube chamber to grow toward the chamber ectendomycorrhiza, form a little bit greatly but irregular tube-like in shape lump.
(2)mushroom umbrella type:Have 15% around, tumor to glue a film surface growth, form a flat even lump, involve in oesophagus a part of the path for week, much to tube chamber inside outstanding if the mushroom is mushroom-like in shape, boundary clear.
(3)ulcer type:Have 15% around, the tumor forms hollow ulcer and erodes parts of oesophagus walls, generally don't produce a tube chamber to seriously block.
(4)shrink a narrow type:Have 10% around, cancer swollen formation wreath the form or short tube form is narrow, narrow above the oesophagus extend.
(5)type inside the chamber:More seldom seen, have 3% around, the cancer is swollen to present polyp of kind to oesophagus tube outstanding inside the chamber, there are Di and oesophagus wall connecting with each other, the surface is debauched, ulcerate and can invade a muscle layer.
3.The big body pathology cent type of cancer in the Ben door:Its diagnosis and treatment all had with oesophagus cancer many common places when Ben door belonged to gastric structure on the dissection, but malignant tumor happened, so brought into cancer in the Ben door the oesophagus cancer as well described.The big body pathology cent type of cancer in the Ben door is been divided into as follows a few kinds:
(1)the type of condy-loma accuminata:Tumor mainly to take care of to grow inside the chamber, form the lump of the elephant"condy-loma accuminata" kind.
(2)fill the air to invade a smooth type:The tumor invades smooth scope more wide, can involve in the big department of oesophagus and stomach, the stomach wall has already increased thick, glue a film is debauched.
(3)ulcer type:The tumor is a big ulcer, often wear to go into close by dirty machine.
(4)hybrid type:It much is a later period pathological changes, have already canned not press the above cent type.
Oesophagus cancer and cancer pathology in the Ben door, cent type
3.11.2009
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