食管原发性脂肪肉瘤：一例报告
Primary liposarcoma of esophagus: a case report.
作者信息
Liakakos Theodore D, Troupis Theodore G, Tzathas Charalambos, Spirou Konstantina, Nikolaou Irene, Ladas Spiridon, Karatzas Gabriel M
机构信息
3rd Department of Surgery, University of Athens, ATTIKON University General Hospital, Haidari, Athens, Greece.
出版信息
World J Gastroenterol. 2006 Feb 21;12(7):1149-52. doi: 10.3748/wjg.v12.i7.1149.
Liposarcoma is the most common soft tissue sarcoma in adult life while esophageal liposarcoma is an extremely rare tumor. In the world literature, only 14 cases of esophageal liposarcomas have been described. We report a 72-year old male patient who was urgently admitted to our hospital for acute epigastric pain with a burning retrosternal sensation, persistent nausea, vomiting and dysphagia. Barium swallow, upper gastrointestinal (GI) endoscopy, esophageal manometry and CT scan, failed to accurately diagnose the lesion. After surgical resection of an esophageal polypoid tumor, the histological examination revealed a well-differentiated grade I liposarcoma. Diagnostic and therapeutic tools were discussed and the results of literature were reviewed.
脂肪肉瘤是成人中最常见的软组织肉瘤，而食管脂肪肉瘤是一种极为罕见的肿瘤。在世界文献中，仅描述了14例食管脂肪肉瘤。我们报告一例72岁男性患者，因急性上腹部疼痛伴胸骨后烧灼感、持续性恶心、呕吐及吞咽困难而紧急入院。上消化道钡餐、上消化道内镜检查、食管测压及CT扫描均未能准确诊断该病变。在手术切除一个食管息肉样肿瘤后，组织学检查显示为高分化I级脂肪肉瘤。我们讨论了诊断和治疗方法，并回顾了文献结果。
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