Diaz de Liaño A, Ciga M A, Trujillo R, Aizcorbe M, Cobo F, Oteiza F
Department of General and Digestive Tract Surgery, Hospital Virgen del Camino, Navarra, Spain.
Hepatogastroenterology. 1999 Jul-Aug;46(28):2405-8.
Esophageal cysts are a rare clinicopathological condition. They usually cause respiratory symptoms in children, while they are often asymptomatic in adults. Two cases of esophageal cysts in adults, recently diagnosed and treated in our department, are reported. In the 1st case (a 52 year-old woman) dysphagia was the main symptom. In the 2nd one (a 39 year-old woman) the patient was asymptomatic. Both were surgically excised by enucleation, with no post-operative complications. The histological study showed both cysts to be lined with ciliated cylindrical epithelium, and they were therefore considered to be congenital. Smooth muscle was only seen in the cyst wall in the 2nd case, but it was not organized in 2 layers, as is typical of duplication cysts. Cartilage or respiratory glands, the pathognomonic features of bronchogenic cysts, were not identified in either of them. Therefore, the diagnosis was inclusion cysts in both cases.
食管囊肿是一种罕见的临床病理情况。它们通常在儿童中引起呼吸道症状，而在成人中往往无症状。本文报告了最近在我科诊断和治疗的两例成人食管囊肿病例。第一例（一名52岁女性）主要症状为吞咽困难。第二例（一名39岁女性）患者无症状。两例均通过摘除术进行手术切除，术后无并发症。组织学研究显示两个囊肿均内衬纤毛柱状上皮，因此被认为是先天性的。仅在第二例囊肿壁中可见平滑肌，但未像重复囊肿那样呈典型的两层排列。两者均未发现软骨或呼吸腺，而这是支气管源性囊肿的特征性表现。因此，两例的诊断均为包涵囊肿。
