Fournier E, Salvan D, Lunggren M-P, Rivron A, Jacob A
Service d'ORL et de chirurgie cervico-faciale, Centre hospitalier Sud Francilien, 59, bd Henri Dunant, 91106 Corbeil-Essonnes.
Ann Otolaryngol Chir Cervicofac. 2003 Dec;120(6):355-8.
Granular cell tumor of the cervical esophagus is a rare and benign tumor. We present a case of constricting granular cell tumor of the cervical esophagus and discuss esophageal reconstruction.
Constricting granular cell tumor of the cervical esophagus was diagnosed in a patient who experienced aphagia for two years. Endoscopy demonstrated complete stricture of the cervical esophagus and computed tomography and magnetic resonance imaging confirmed the presence of a tumor formation in the cervical esophagus. Total esophagectomy with preservation of the larynx was performed.
Surgical treatment raises the problem of esophageal reconstruction (gastric pull up, free flap reconstruction). We used the gastric pull up technique and fashioned a piriform sinus anastomosis. There was no postoperative complication and functional outcome was excellent.
Computed tomography and magnetic resonance imaging provide essential data on the spread and location of granular cell tumor. Surgery provides excellent functional results.
颈段食管颗粒细胞瘤是一种罕见的良性肿瘤。我们报告一例颈段食管缩窄性颗粒细胞瘤病例,并讨论食管重建问题。
一名吞咽困难两年的患者被诊断为颈段食管缩窄性颗粒细胞瘤。内镜检查显示颈段食管完全狭窄,计算机断层扫描和磁共振成像证实颈段食管存在肿瘤形成。实施了保留喉的全食管切除术。
手术治疗引发了食管重建问题(胃上提术、游离皮瓣重建术)。我们采用了胃上提技术并构建了梨状窝吻合术。术后无并发症,功能结果良好。
计算机断层扫描和磁共振成像提供了关于颗粒细胞瘤扩散和位置的重要数据。手术可取得良好的功能结果。