Department of Surgery, Institute of Gastroenterology, Tokyo Women's Medical University, Tokyo, Japan.
Dig Endosc. 2014 May;26(3):478-81. doi: 10.1111/den.12138. Epub 2013 Jun 17.
Primary esophageal mucosa-associated lymphoid tissue (MALT) lymphoma is rare. There have been few reports about early primary esophageal MALT lymphoma being treated endoscopically. The clinical profile of primary esophageal MALT lymphoma is currently unclear, so it is important to accumulate more information about early esophageal MALT lymphoma. To achieve early detection of esophageal MALT lymphoma, we need more accurate knowledge and information about the macroscopic and morphological features of this tumor. Endoscopic resection is one of the most effective treatments. With respect to the lateral and vertical margins of the resected specimen, endoscopic submucosal dissection (ESD) may be superior to endoscopic mucosal resection for treating early esophageal MALT lymphoma. Here we report the macroscopic appearance of the tumor which is the first successful case of ESD for early esophageal MALT lymphoma.
原发性食管黏膜相关淋巴组织(MALT)淋巴瘤较为罕见。目前仅有少数关于内镜治疗早期原发性食管 MALT 淋巴瘤的报道。原发性食管 MALT 淋巴瘤的临床特征尚不明确,因此积累更多关于早期食管 MALT 淋巴瘤的信息非常重要。为了实现食管 MALT 淋巴瘤的早期发现,我们需要更准确地了解和认识该肿瘤的大体形态和黏膜形态学特征。内镜下切除是最有效的治疗方法之一。在切除标本的水平和垂直切缘方面,内镜黏膜下剥离术(ESD)可能优于内镜黏膜切除术,用于治疗早期食管 MALT 淋巴瘤。在此,我们报道了首例成功应用 ESD 治疗早期食管 MALT 淋巴瘤的肿瘤大体形态。