版权说明:本文档由用户提供并上传,收益归属内容提供方,若内容存在侵权,请进行举报或认领
文档简介
食管癌英文食管癌英文1ContentAnatomyoftheEsophagusSummaryPathogeny(发病机制)ClinicalfeatureDiagnoseDifferentialdiagnosisExerciseContentAnatomyoftheEsophagu2AnatomyoftheEsophagusTheesophagusisamusculartube,whichisadigestiveorganbetweenthethroatandstomach.AnatomyoftheEsophagusThees3PhysiologicalstenosisofesophagusFirst:Thejunctionofthepharynx(咽)andesophagus.Second:locatedinthebackofleftprincipalbronchus.Third:Esophagealhiatus(食管裂孔).
Physiologicalstenosisofesop43SectionsoftheesophagusTheuppersegmentThemiddlesegment
(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)ClinicalfeatureInthemiddle11Pathogeny(发病机制)(Carcinomaoccurmostfrequent)3SectionsoftheesophagusFungus(真菌)EsophagealvaricesNitrosamine(亚硝胺)Onawideneduppersegment
withfluidlevelTrachealbifurcation(气管分叉)Enhancedscanningshowed
mildenhancementof
tumor.EnhancedCTscan
showed
vasculartortuosity
groupremarkableenhancementanddelayed
enhancement.Thesurroundingofthetumorbecomebulged,andthefoldsofmucousbecomedamaged.Classificationofesophageal
cancerLeiomyomaoftheesophagus
(食道平滑肌瘤).Cavitylumpoccurred.FillingdefectBariumstream
slowor
temporary
residence(钡剂流动缓慢或一过性滞留)Trachealbifurcation(气管分叉)Esophageal
mucosalfoldsbebeak(粘膜迂曲、断裂)Classificationofesophageal
cancer1.Ulcerativetype(溃疡型)2.Mushroomtype(蕈伞型)3.Constrictivetype(缩窄型)4.Medullarytype(髓质型)Pathogeny(发病机制)Classification12Diagnose1.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)16protrudetype(隆起型)protrudetype(隆起型)17Early
ulcerativetypeEarly
ulcerativetype18EarlyconstrictivetypeEarlyconstrictivetype19(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,Pr22Therearemorethan300,000peopleworldwidediedfromesophagealcancereachyear,and150,000ofthemareChinese.Esophagealvarices(食管静脉曲张)Thereisasynechia(黏连)betweenthecancerandtheaorticarch.Mushroomtype(蕈伞型)Limitingfillingdefect(局限性充盈缺损)Trachealbifurcation(气管分叉)FillingdefectPleaseshowusthefourtypesofthecarcinomaofesophagus.Thehighsignalfatlayerexist.ThelowersegmentThesurroundingofthetumorbecomebulged,andthefoldsofmucousbecomedamaged.Whenthetumor
invade
thetrachea,tracheoesophagealfistula(气管食管瘘)Ulcerativetype(溃疡型)Enhancedscanningshowed
mildenhancementof
tumor.AnatomyoftheEsophagusComputedTomography(CT)Classificationofesophageal
cancerVitamindeficiencyNitrosamines
contentofthese
foods
areveryhighThehighsignalfatlayerexist.d.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.Therearemorethan300,000pe232.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333.Leiomyomaoftheesophagus(食管平滑肌瘤)Smoothcircularcavityfillingdefectwithoutmucosalfoldbreakandsurroundingtissueinvasionandmetastasis.3.Leiomyomaoftheesophagus(34食管癌英文课件35Exercise1.Canurememberthe3physiologicalstenosisofesophagus?(InthisquestionucanansweritinChinese)2.Pleaseshowusthefourtypesofthecarcinomaofesophagus.3.Tellmewhichesophagusdiseaseitisinthefollowingpictures.Exercise1.Canurememberthe36Mushroomtype(蕈伞型)Thecarcinomacanencroachonthewhole-layerofesophagusandmakeastenosis,withulcerationonit.Nitrosamines
contentofthese
foods
areveryhighThelowersegmentEnhancedscanningshowed
mildenhancementof
tumor.AnatomyoftheEsophagusSecond:locatedinthebackofleftprincipalbronchus.PhysiologicalstenosisofesophagusSecond:locatedinthebackofleftprincipalbronchus.Canurememberthe3physiologicalstenosisofesophagus?(InthisquestionucanansweritinChinese)Progressive
dysphagia
(进行性吞咽困难)FillingdefectThemiddlesegmentPleaseshowusthefourtypesofthecarcinomaofesophagus.Clinicalfeature3SectionsoftheesophagusLeiomyomaoftheesophagus
(食道平滑肌瘤).Haveahistoryoflivercirrhosis,portalhypertension.PhysiologicalstenosisofesophagusThehighsignalfatlayerexist.UlcerativecarcinomaMushroomtype(蕈伞型)Ulcerativec37TheendThankyou!TheendThankyou!38Enhancedscanningshowed
mildenhancementof
tumor.Cavitylumpoccurred.Thesurroundingofthetumorbecomebulged,andthefoldsofmucousbecomedamaged.DifferentialdiagnosisPeripheral
organgotinvolved
or
lymphnodemetastasis.Small
nodules(小结节)Third:Esophagealhiatus(食管裂孔).Esophageal
wallcircularorirregularthickening(>5mm).CancerinvadethetracheaClassificationofesophageal
cancerAnatomyoftheEsophagusThereisasynechia(黏连)betweenthecancerandtheaorticarch.Whenthetumor
invade
thetrachea,tracheoesophagealfistula(气管食管瘘)PrevalenceandmortalityFillingdefect广泛侵犯食管全层,形成腔外肿物,管腔狭窄,表面可见溃疡Thehighsignalfatlayerexist.MushroomtypePleaseshowusthefourtypesofthecarcinomaofesophagus.ClinicalfeaturePeripheral
organgotinvolved
or
lymphnodemetastasis.Trachealbifurcation(气管分叉)Whenthetumor
invade
thetrachea,tracheoesophagealfistula(气管食管瘘)Bariumstream
slowor
temporary
residence(钡剂流动缓慢或一过性滞留)Limitingfillingdefect(局限性充盈缺损)(Carcinomaoccurmostfrequent)DifferentialdiagnosisThelowersegmentCavitylumpoccurred.Esophageal
wallcircularorirregularthickening(>5mm).Mushroomtype(蕈伞型)Whenthetumor
invade
thetrachea,tracheoesophagealfistula(气管食管瘘)Singleor
multiplesmall
niches(龛影)Thesurroundingofthetumorbecomebulged,andthefoldsofmucousbecomedamaged.Esophagealvarices(食管静脉曲张)3SectionsoftheesophagusEnhancedscanningIntermittent
dysphagia(间歇性吞咽困难)Bariumstream
slowor
temporary
residence(钡剂流动缓慢或一过性滞留)Limitingfillingdefect(局限性充盈缺损)MagneticResonanceImaging(MR)Cachexia(恶病质)Cavitylumpoccurred.Symptomsareoftennotobvious,butwhenswallowingthecoarsefood,differentdegreesofuncomfortablefeelingsmayoccur.Ulcerativetype(溃疡型)ThemiddlesegmentInearlystageLimitingfillingdefect(局限性充盈缺损)Nitrosamines
contentofthese
foods
areveryhighClassificationofesophageal
cancerAnatomyoftheEsophagusMiddleandadvancedstageCavitylumpoccurred.Esophagealvarices(食管静脉曲张)ThelowersegmentMushroomtype(蕈伞型)ThemiddlesegmentWithoutmucosalfoldbreak.Ulcerativetype(溃疡型)Second:locatedinthebackofleftprincipalbronchus.Second:locatedinthebackofleftprincipalbronchus.VitamindeficiencyEsophageal
wallcircularorirregularthickening(>5mm).AchalasiaofcardiaandesophagusVitamindeficiencyThemiddlesegmentBariumemptyingdelay,butnoobstructionphenomenon.Ulcerativetype(溃疡型)Nitrosamines
contentofthese
foods
areveryhighAchalasiaofcardiaandesophagusMedullarytype(髓质型)Theesophagusisamusculartube,whichisadigestiveorganbetweenthethroatandstomach.ThelowersegmentThehighsignalfatlayerexist.Ulcerativetype(溃疡型)Mushroomtype(蕈伞型)Cachexia(恶病质)Enhancedscanningshowed
mildenhancementof
tumor.MushroomtypeNitrosamineThelowersegment(Carcinomaoccurmostfrequent)谢谢观看!Enhancedscanningshowed
mild39食管癌英文食管癌英文40ContentAnatomyoftheEsophagusSummaryPathogeny(发病机制)ClinicalfeatureDiagnoseDifferentialdiagnosisExerciseContentAnatomyoftheEsophagu41AnatomyoftheEsophagusTheesophagusisamusculartube,whichisadigestiveorganbetweenthethroatandstomach.AnatomyoftheEsophagusThees42PhysiologicalstenosisofesophagusFirst:Thejunctionofthepharynx(咽)andesophagus.Second:locatedinthebackofleftprincipalbronchus.Third:Esophagealhiatus(食管裂孔).
Physiologicalstenosisofesop433SectionsoftheesophagusTheuppersegmentThemiddlesegment
(Carcinomaoccurmostfrequent)
ThelowersegmentTrachealbifurcation(气管分叉)3SectionsoftheesophagusTh44SummaryCarcinomaoftheesophagusisacommonmalignanttumorthatoccursinapopulationcover40yearsold,andinpredilectionformale(好发于男性).SummaryCarcinomaoftheesopha45PrevalenceandmortalityTherearemorethan300,000peopleworldwidediedfromesophagealcancereachyear,and150,000ofthemareChinese.PrevalenceandmortalityThere46Pathogeny1.
Nitrosamine(亚硝胺)2.Fungus(真菌)3.Vitamindeficiency4.DietaryhabitsPathogeny1.Nitrosamine(亚硝胺)47
NitrosamineNitrosamines
contentofthese
foods
areveryhighNitrosamineNitrosamines
conte48Clinicalfeature
InearlystageSymptomsareoftennotobvious,butwhenswallowingthecoarsefood,differentdegreesofuncomfortablefeelingsmayoccur.ClinicalfeatureInearlystag49ClinicalfeatureInthemiddleandadvancedstageProgressive
dysphagia
(进行性吞咽困难)Whenthetumor
invade
thetrachea,tracheoesophagealfistula(气管食管瘘)Cachexia(恶病质)ClinicalfeatureInthemiddle50Pathogeny(发病机制)(Carcinomaoccurmostfrequent)3SectionsoftheesophagusFungus(真菌)EsophagealvaricesNitrosamine(亚硝胺)Onawideneduppersegment
withfluidlevelTrachealbifurcation(气管分叉)Enhancedscanningshowed
mildenhancementof
tumor.EnhancedCTscan
showed
vasculartortuosity
groupremarkableenhancementanddelayed
enhancement.Thesurroundingofthetumorbecomebulged,andthefoldsofmucousbecomedamaged.Classificationofesophageal
cancerLeiomyomaoftheesophagus
(食道平滑肌瘤).Cavitylumpoccurred.FillingdefectBariumstream
slowor
temporary
residence(钡剂流动缓慢或一过性滞留)Trachealbifurcation(气管分叉)Esophageal
mucosalfoldsbebeak(粘膜迂曲、断裂)Classificationofesophageal
cancer1.Ulcerativetype(溃疡型)2.Mushroomtype(蕈伞型)3.Constrictivetype(缩窄型)4.Medullarytype(髓质型)Pathogeny(发病机制)Classification51Diagnose1.X-ray
barium
meal2.ComputedTomography(CT)3.MagneticResonanceImaging(MR)Diagnose1.X-ray
barium
meal521.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).Early53PostoperationRecurPostoperation54Small
nodules(小结节)Small
nodules(小结节)55protrudetype(隆起型)protrudetype(隆起型)56Early
ulcerativetypeEarly
ulcerativetype57EarlyconstrictivetypeEarlyconstrictivetype58(2).Middleandadvancedstagea.Ulcerativetype(溃疡型)
niche
Thesurroundingofthetumorbecomebulged,andthefoldsofmucousbecomedamaged.(周围隆起,粘膜皱襞破坏)(2).Middleandadvancedstage59FillingdefectAnexpandoverthetumorb.MushroomtypeFillingdefectb.Mushroomtyp60c.ConstrictivetypeM,63Y,Progressive
dysphagia
20dc.ConstrictivetypeM,63Y,Pr61Therearemorethan300,000peopleworldwidediedfromesophagealcancereachyear,and150,000ofthemareChinese.Esophagealvarices(食管静脉曲张)Thereisasynechia(黏连)betweenthecancerandtheaorticarch.Mushroomtype(蕈伞型)Limitingfillingdefect(局限性充盈缺损)Trachealbifurcation(气管分叉)FillingdefectPleaseshowusthefourtypesofthecarcinomaofesophagus.Thehighsignalfatlayerexist.ThelowersegmentThesurroundingofthetumorbecomebulged,andthefoldsofmucousbecomedamaged.Whenthetumor
invade
thetrachea,tracheoesophagealfistula(气管食管瘘)Ulcerativetype(溃疡型)Enhancedscanningshowed
mildenhancementof
tumor.AnatomyoftheEsophagusComputedTomography(CT)Classificationofesophageal
cancerVitamindeficiencyNitrosamines
contentofthese
foods
areveryhighThehighsignalfatlayerexist.d.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.Therearemorethan300,000pe622.CT1.Esophageal
wallcircularorirregularthickening(>5mm).2.Cavitylumpoccurred.3.Paraesophageal
fatlayer
fuzzy,
disappear.4.Peripheral
organgotinvolved
or
lymphnodemetastasis.5.Enhancedscanningshowed
mildenhancementof
tumor.2.CT1.Esophageal
wallcircul63食管癌英文课件64EnhancedscanningEnhancedscanning653.MRThereisasynechia(黏连)betweenthecancerandtheaorticarch.Thehighsignalfatlayerexist.3.MRThereisasynechia(黏连)b66CancerinvadethetracheaT2WI:Thefatlayerdisappearedandthewalloftracheabedamaged.T1Wenhancescanningshowsalumpinthetracheaandbeenhancedlikethecarcinoma.CancerinvadethetracheaT2WI:67Differentialdiagnosis1.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.Achal681.Achalasiaofcardiaandesophagus
Intermittent
dysphagia(间歇性吞咽困难)Onawideneduppersegment
withfluidlevelLoweresophagusbecomethinlikeabeak(鸟嘴征)Withoutmucosalfoldbreak.1.Achalasiaofcardiaandeso69食管癌英文课件702.EsophagealvaricesHaveahistoryoflivercirrhosis,portalhypertension.Beaded
fillingdefect(串珠样充盈缺损)EnhancedCTscan
showed
vasculartortuosity
groupremarkableenhancementanddelayed
enhancement.Bariumemptyingdelay,butnoobstructionphenomenon.2.EsophagealvaricesHaveahi71食管癌英文课件723.Leiomyomaoftheesophagus(食管平滑肌瘤)Smoothcircularcavityfillingdefectwithoutmucosalfoldbreakandsurroundingtissueinvasionandmetastasis.3.Leiomyomaoftheesophagus(73食管癌英文课件74Exercise1.Canurememberthe3physiologicalstenosisofesophagus?(InthisquestionucanansweritinChinese)2.Pleaseshowusthefourtypesofthecarcinomaofesophagus.3.Tellmewhichesophagusdiseaseitisinthefollowingpictures.Exercise1.Canurememberthe75Mushroomtype(蕈伞型)Thecarcinomacanencroachonthewhole-layerofesophagusandmakeastenosis,withulcerationonit.Nitrosamines
contentofthese
foods
areveryhighThelowersegmentEnhancedscanningshowed
mildenhancementof
tumor.AnatomyoftheEsophagusSecond:locatedinthebackofleftprincipalbronchus.PhysiologicalstenosisofesophagusSecond:locatedinthebackofleftprincipalbronchus.Canurememberthe3physiologicalstenosisofesophagus?(InthisquestionucanansweritinChinese)Progressive
dysphagia
(进行性吞咽困难)FillingdefectThemiddlesegmentPleaseshowusthefourtypesofthecarcinomaofesophagus.Clinicalfeature3SectionsoftheesophagusLeiomyomaoftheesophagus
(食道平滑肌瘤).Haveahistoryoflivercirrhosis,portalhypertension.PhysiologicalstenosisofesophagusThehighsignalfatlayerexist.UlcerativecarcinomaMushroomtype(蕈伞型)Ulcerativec76TheendThankyou!TheendThankyou!77Enhancedscanningshowed
mildenhancementof
tumor.Cavitylumpoccurred.Thesurroundingofthetumorbecomebulged,andthefoldsofmucousbecomedamaged.DifferentialdiagnosisPeripheral
organgotinvolved
or
lymphnodemetastasis.Small
nodules(小结节)Third:Esophagealhiatus(食管裂孔).Esophageal
wallcircularorirregularthickening(>5mm).CancerinvadethetracheaClassificationofesophageal
cancerAnatomyoftheEsophagusThereisasynechia(黏连)betweenthecancerandtheaorticarch.Whenthetumor
invade
thetrachea,tracheoesophagealfistula(气管食管瘘)PrevalenceandmortalityFillingdefect广泛侵犯食管全层,形成腔外肿物,管腔狭窄,表面可见溃疡Thehighsignalfatlayerexist.MushroomtypePleaseshowusthefourtypesofthecarcinomaofesophagus.ClinicalfeaturePeripheral
organgotinvolved
or
lymphnodemetastasis.Trachealbifurcation(气管分叉)Whenthetumor
invade
thetrachea,tracheoesophagealfistula(气管食管瘘)Bariumstream
slowor
tempora
温馨提示
- 1. 本站所有资源如无特殊说明,都需要本地电脑安装OFFICE2007和PDF阅读器。图纸软件为CAD,CAXA,PROE,UG,SolidWorks等.压缩文件请下载最新的WinRAR软件解压。
- 2. 本站的文档不包含任何第三方提供的附件图纸等,如果需要附件,请联系上传者。文件的所有权益归上传用户所有。
- 3. 本站RAR压缩包中若带图纸,网页内容里面会有图纸预览,若没有图纸预览就没有图纸。
- 4. 未经权益所有人同意不得将文件中的内容挪作商业或盈利用途。
- 5. 人人文库网仅提供信息存储空间,仅对用户上传内容的表现方式做保护处理,对用户上传分享的文档内容本身不做任何修改或编辑,并不能对任何下载内容负责。
- 6. 下载文件中如有侵权或不适当内容,请与我们联系,我们立即纠正。
- 7. 本站不保证下载资源的准确性、安全性和完整性, 同时也不承担用户因使用这些下载资源对自己和他人造成任何形式的伤害或损失。
最新文档
- 第三章 牛顿运动定律测试题
- 起重吊装安全培训考试
- 液压与气压传动系统安装与调试智慧树知到答案2024年黑龙江职业学院
- 18高中数学新教材课堂导学案(直线与圆锥曲线关系)及答案
- 第二章 一元二次方程 讲义 2024-2025学年北师大版九年级数学上册
- 仿形铣床相关行业投资规划报告
- 第一单元++中国开始沦为半殖民地半封建社会 知识清单 统编版八年级历史上册
- 甘肃兰州2023年中考语文现代文阅读真题及答案
- 第三章《水溶液中离子反应与平衡》单元复习题 高二上学期化学人教版(2019)选择性必修1
- 自我保护术主题班会
- 研发部门薪酬福利制度样本
- 办公软件常用操作培训课件
- 2024年《生物化学》教案
- 中药药剂学与制药工艺
- 标准机房施工工艺要求
- 中医中药防治冠心病培训课件
- 四年级英语集体备课记录表
- 关于欧亚牛奶的分析报告
- 现在进行时(全国一等奖)
- 实体书店与文化产业市场前景分析
- 慢性肾脏病高血压指南解读
评论
0/150
提交评论