Díaz-Sánchez Antonio, Soto Susana, Ponferrada Angel, Campos Rocío, García Mónica O, Benito Dulce María, Troya Jesús, Merino Beatriz, Aldeguer Mercedes
Sección de Aparato Digestivo, Hospital Universitario Infanta Leonor, Madrid, España.
Gastroenterol Hepatol. 2011 Aug-Sep;34(7):454-9. doi: 10.1016/j.gastrohep.2011.03.013. Epub 2011 Jun 1.
Granular cell tumors (GCT) are infrequent tumors first described by Abrikossoff in 1926. Gastrointestinal involvement occurs in about 6% of GCT, the esophagus being the most frequent location. These tumors are usually benign and asymptomatic and are usually found incidentally when an upper gastrointestinal endoscopy is carried out for another reason, showing an isolated polyp or sessile submucosal nodule, covered by intact yellowish mucosa and with firm consistency. Endoscopic ultrasonography has significantly improved the diagnosis of these lesions. Nowadays endoscopic mucosectomy is the treatment of choice of esophageal GCT with a low frequency of complications. Histologic analysis of the surgical specimen shows specific characteristics such as positivity for S-100 protein. We present two new cases of esophageal GCT that were diagnosed recently and discuss the most relevant features of this infrequent disease.
颗粒细胞瘤(GCT)是一种罕见肿瘤,由阿布里科索夫于1926年首次描述。胃肠道受累约占GCT的6%,其中食管是最常见的发病部位。这些肿瘤通常为良性且无症状,通常在因其他原因进行上消化道内镜检查时偶然发现,表现为孤立的息肉或无蒂黏膜下结节,表面覆盖完整的淡黄色黏膜,质地坚实。内镜超声显著提高了这些病变的诊断水平。如今,内镜下黏膜切除术是食管GCT的首选治疗方法,并发症发生率较低。手术标本的组织学分析显示出特定特征,如S-100蛋白阳性。我们报告两例最近诊断的食管GCT新病例,并讨论这种罕见疾病的最相关特征。