Markakis Charalampos G, Spartalis Eleftherios D, Liarmakopoulos Emmanouil, Kavoura Evangelia G, Tomos Periklis
Second Department of Propedeutic Surgery, University of Athens, Medical School, "Laiko" General Hospital, Agiou Thoma 17, 11527 Athens, Greece.
Case Rep Surg. 2013;2013:968394. doi: 10.1155/2013/968394. Epub 2013 Apr 30.
Introduction. Gastrointestinal stromal tumors of the esophagus are rare. Case Presentation. This is a case of a 50-year-old male patient who was referred to our department complaining of atypical chest pain. A chest computed tomographic scan and endoscopic ultrasound revealed a submucosal esophageal tumor measuring 5 cm in its largest diameter. Suspecting a leiomyoma, we performed enucleation via right thoracotomy. The pathology report yielded a diagnosis of an esophageal gastrointestinal stromal tumor. The patient has shown no evidence of recurrence one year postoperatively. Conclusions. This report illustrates the complexity and dilemmas inherent in diagnosing and treating esophageal GISTs.
引言。食管胃肠道间质瘤较为罕见。病例报告。这是一例50岁男性患者，因非典型胸痛转诊至我科。胸部计算机断层扫描和内镜超声检查发现一个最大直径为5厘米的食管黏膜下肿瘤。怀疑是平滑肌瘤，我们通过右胸开胸手术进行了摘除。病理报告确诊为食管胃肠道间质瘤。术后一年，该患者无复发迹象。结论。本报告说明了食管胃肠道间质瘤诊断和治疗中固有的复杂性和困境。
