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食管和肺的同步多发血管球瘤

Synchronous multiple glomus tumors of the esophagus and lung.

作者信息

Altorjay Aron, Arató Gabriella, Adame Mária, Szántó Imre, Garcia Jose, Forrai Gábor, Ereifej Samir, Nagy Pál, Gonda Gábor, Farsang Zoltán, Kiss János

机构信息

Department of Surgery, Imre Haynal University of Health Sciences, Budapest, Hungary.

出版信息

Hepatogastroenterology. 2003 May-Jun;50(51):687-90.

Abstract

A case of synchronous esophageal and multiple pulmonary tumors presenting complex diagnostic problems is described. In the course of routine pulmonary screening a pulmonary coin lesion of the right lung and three very small foci on the left side, under the pleura falling just within the range of diagnostic parameters was identified in a symptom-free patient. In addition to the multiple lung lesions a single sub-mucosal esophageal tumor was detected. Following minimally invasive surgical excision of the tumors the precise nature of the neoplasms was determined by means of comparative histological, light-and electro-microscopic as well as immunohistochemical studies. The earlier diagnosis of carcinoid was reviewed, rejected and glomus tumor was confirmed. Multiple glomus tumors of the above localizations have not been previously described in the literature.

摘要

本文描述了一例同时发生食管和多发肺部肿瘤的病例,该病例呈现出复杂的诊断问题。在常规肺部筛查过程中,一名无症状患者的右肺发现了一个肺内钱币状病变,左侧胸膜下有三个非常小的病灶,这些病灶刚好在诊断参数范围内。除了多发肺部病变外,还检测到一个食管黏膜下肿瘤。在对肿瘤进行微创外科切除后,通过比较组织学、光学和电子显微镜以及免疫组织化学研究确定了肿瘤的确切性质。对类癌的早期诊断进行了重新评估,予以排除,并确诊为血管球瘤。上述部位的多发血管球瘤在文献中此前未见报道。

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