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罕见食管巨大孤立性纤维瘤 1 例

A rare case of giant solitary fibrous tumor of the esophagus.

机构信息

Department of Thoracic Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, People's Republic of China.

出版信息

Ann Thorac Surg. 2009 Dec;88(6):2019-21. doi: 10.1016/j.athoracsur.2009.05.047.

Abstract

Giant solitary fibrous tumor of the esophagus is a very rare neoplasm. We herein report a successful surgically treated solitary fibrous tumor of the esophagus. A 49-year-old man presented with a history of difficulty in swallowing and chest pain. The preoperative diagnostic workup, including a computed tomographic chest scan, endoscopy, endoscopic ultrasonography, and barium swallow, demonstrated a giant pedunculated intraluminal mass in the esophagus. The tumor was completely resected through a transthoracic esophagotomy, combined with an intraoperative endoscopy. A microscopic examination and immunohistochemical studies supported the diagnosis of a benign solitary fibrous tumors of the esophagus. The patient remained well with no evidence of recurrence 16 months after surgery.

摘要

食管巨大孤立性纤维瘤非常罕见。我们在此报告一例成功手术治疗的食管孤立性纤维瘤。一名 49 岁男性因吞咽困难和胸痛就诊。术前检查包括胸部 CT 扫描、内镜、内镜超声和钡餐检查,显示食管内有一个巨大的带蒂腔内肿块。肿瘤通过经胸食管切开术联合术中内镜完全切除。显微镜检查和免疫组织化学研究支持食管良性孤立性纤维瘤的诊断。术后 16 个月,患者无复发迹象,恢复良好。

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