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胸段上段食管巨大神经鞘瘤摘除术:两例报告

Enucleation of giant esophageal schwannoma of the upper thoracic esophagus: reports of two cases.

作者信息

Jeon Hyun Woo, Kim Kyung Soo, Hyun Kwan Yong, Park Jae Kil

机构信息

Seoul St, Mary's Hospital, The Catholic University of Korea, Seoul Seo Cho Gu Ban Po Dong Banpo road 222, Seoul 137-701, South Korea.

出版信息

World J Surg Oncol. 2014 Feb 19;12:39. doi: 10.1186/1477-7819-12-39.

DOI:10.1186/1477-7819-12-39
PMID:24548347
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3936954/
Abstract

Benign esophageal tumors are uncommon, leiomyomas being the most frequent. However, esophageal schwannomas are exceedingly rare. We report here on two instances of large esophageal schwannomas treated by enucleation. A 63-year-old male and a 32-year-old female were referred to us for abnormal chest X-rays. Computed tomography of the chest documented sizeable growths in the upper thoracic esophagus, resulting in compression of membranous trachea posteriorly. By positron emission tomography, the tumors appeared hypermetabolic. In both instances, successful surgical enucleation was achieved. Histologic examination confirmed spindle cell tumors positive for S-100 protein by immunostaining.

摘要

良性食管肿瘤并不常见,其中平滑肌瘤最为常见。然而,食管神经鞘瘤极为罕见。我们在此报告两例通过摘除术治疗的巨大食管神经鞘瘤病例。一名63岁男性和一名32岁女性因胸部X线异常被转诊至我院。胸部计算机断层扫描显示胸段食管上段有较大肿物,导致后方膜性气管受压。通过正电子发射断层扫描,肿瘤表现为高代谢。在这两例病例中,均成功进行了手术摘除。组织学检查通过免疫染色证实梭形细胞瘤S-100蛋白呈阳性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8bf/3936954/ebbb78a4f843/1477-7819-12-39-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8bf/3936954/b2d6206d2dfb/1477-7819-12-39-1.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8bf/3936954/4b4a5d38beb5/1477-7819-12-39-5.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8bf/3936954/b2d6206d2dfb/1477-7819-12-39-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8bf/3936954/0674b1bb9261/1477-7819-12-39-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8bf/3936954/588c76fd644a/1477-7819-12-39-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8bf/3936954/1b996afaebab/1477-7819-12-39-4.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a8bf/3936954/ebbb78a4f843/1477-7819-12-39-6.jpg

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本文引用的文献

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An early presenting esophageal schwannoma.早期表现的食管神经鞘瘤。
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Nine years experience in surgical approach of leiomyomatosis of esophagus.食管平滑肌瘤的手术入路 9 年经验。
经黏膜下隧道内镜切除术完全切除巨大食管神经鞘瘤:1例病例报告并文献复习
World J Clin Cases. 2023 Apr 16;11(11):2510-2520. doi: 10.12998/wjcc.v11.i11.2510.
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Thoracoscopic resection of a large lower esophageal schwannoma: A case report and review of the literature.胸腔镜下切除巨大食管下段神经鞘瘤:1例病例报告及文献复习
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Clinicopathological features of esophageal schwannomas in mainland China: systematic review of the literature.中国大陆食管神经鞘瘤的临床病理特征:文献系统回顾。
Int J Clin Oncol. 2021 Feb;26(2):284-295. doi: 10.1007/s10147-020-01809-4. Epub 2020 Nov 20.
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Clinical characteristics and surgical treatment of schwannomas of the esophagus and stomach: A case series and systematic review.食管和胃神经鞘瘤的临床特征及外科治疗:病例系列研究与系统评价
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