Hill S, Walker S, Bode J C, Emmermann H
Abteilung I, Zentrum für Innere Medizin, Robert-Bosch-Krankenhaus, Stuttgart.
Dtsch Med Wochenschr. 1991 Jun 7;116(23):895-8. doi: 10.1055/s-2008-1063694.
A 45-year-old man had for the past four years complained of postprandial feeling of fullness and of left-thoracic pressure sensation. Endoscopy revealed a spherical subcardial tumour, about 3.5 cm diameter, a yellow raised flat 7 x 4 mm tumour in the oesophagus about 44 cm from the upper teeth, and 29 cm from the upper teeth a 4 mm bulge. Forceps biopsy of the subcardial tumour and fine-needle biopsy of the rather larger oesophageal tumour indicated a granular cell tumour. Because of the risk of malignancy the gastric tumour was resected (local excision and fundal plication). The patient has remained without symptoms for 28 months. Follow-up endoscopies have demonstrated that the oesophageal tumours had not grown any further.
一名45岁男性在过去四年中一直抱怨餐后有饱腹感以及左胸有压迫感。内镜检查发现贲门下方有一个球形肿瘤，直径约3.5厘米，在距上齿约44厘米的食管处有一个7×4毫米的黄色隆起扁平肿瘤，在距上齿29厘米处有一个4毫米的隆起。对贲门下方肿瘤进行钳取活检，对较大的食管肿瘤进行细针穿刺活检，结果显示为颗粒细胞瘤。由于存在恶性风险，对胃肿瘤进行了切除（局部切除和胃底折叠术）。该患者28个月来一直没有症状。后续的内镜检查表明食管肿瘤没有进一步生长。
