食管平滑肌肉瘤：1例报告及CT扫描、内镜超声检查和血管造影的术前评估

Leiomyosarcoma of the esophagus: report of a case and preoperative evaluation by CT scan, endoscopic ultrasonography and angiography.

作者信息

Aimoto T, Sasajima K, Kyono S, Uchida E, Watanabe M, Yamashita K, Takubo K, Onda M

机构信息

First Department of Surgery, Nippon Medical School, Tokyo, Japan.

出版信息

Gastroenterol Jpn. 1992 Dec;27(6):773-9. doi: 10.1007/BF02806531.

DOI:10.1007/BF02806531

PMID:1468608

Abstract

A case of esophageal leiomyosarcoma, for which CT scan, endoscopic ultrasonography (EUS) and angiography were employed for preoperative diagnosis is reported. CT scan identified an exophytic mass which had no rim-enhancement in the lower end of the esophagus. EUS revealed a homogeneous mass originating from the muscularis propria. Angiography showed a mildly hypervascular tumor. Histologically, the resected specimen was a leiomyosarcoma. These results suggest that the evaluation by EUS combined with CT scan and angiography is useful in differentiating smooth muscle tumors from other submucosal tumors.

摘要

报告了一例食管平滑肌肉瘤病例，术前诊断采用了CT扫描、内镜超声检查（EUS）和血管造影。CT扫描发现食管下端有一外生性肿块，无边缘强化。EUS显示一均匀肿块起源于固有肌层。血管造影显示肿瘤血管轻度增多。组织学检查，切除标本为平滑肌肉瘤。这些结果表明，EUS联合CT扫描和血管造影评估有助于鉴别平滑肌肿瘤与其他黏膜下肿瘤。