Fukuchi Minoru, Sakurai Shinji, Suzuki Masaki, Naitoh Hiroshi, Tabe Yuichi, Fukasawa Takaharu, Kiriyama Shinsuke, Yokobori Takehiko, Kuwano Hiroyuki
Department of Surgery, Gunma University Graduate School of Medicine, Maebashi, Japan.
Case Rep Gastroenterol. 2011 Sep;5(3):648-53. doi: 10.1159/000332441. Epub 2011 Nov 30.
We report a case of esophageal squamous cell carcinoma (SCC) with marked eosinophil infiltration which was identified postoperatively in the esophageal wall in areas not surrounding the SCC. The eosinophil infiltration was seen in the submucosa, muscle and adventitia, but not in the mucosa. Eosinophilic esophagitis (EoE) is a pathological condition defined as eosinophil infiltration within the esophageal mucosa. Eosinophil infiltration at the invasion front of esophageal SCC is termed tumor-associated tissue eosinophilia (TATE). However, the eosinophil infiltration in this case may be pathologically different from both EoE and TATE. To our knowledge, this is the first report of esophageal SCC with eosinophil infiltration.
我们报告一例食管鳞状细胞癌(SCC),术后在食管壁中未围绕SCC的区域发现有明显的嗜酸性粒细胞浸润。嗜酸性粒细胞浸润见于黏膜下层、肌层和外膜,但不见于黏膜。嗜酸性粒细胞性食管炎(EoE)是一种被定义为食管黏膜内嗜酸性粒细胞浸润的病理状况。食管SCC浸润前沿的嗜酸性粒细胞浸润被称为肿瘤相关组织嗜酸性粒细胞增多症(TATE)。然而,该病例中的嗜酸性粒细胞浸润在病理上可能与EoE和TATE均不同。据我们所知,这是首例关于伴有嗜酸性粒细胞浸润的食管SCC的报告。