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食管巨大脂肪瘤样息肉中发生的脂肪肉瘤。

Liposarcoma arising in a giant lipomatous polyp of the esophagus.

作者信息

Bak Y T, Kim J H, Kim J G, Lee C H, Lee K N, Choi Y H, Kim H J

出版信息

Korean J Intern Med. 1989 Jan;4(1):86-9. doi: 10.3904/kjim.1989.4.1.86.

Abstract

A case of liposarcoma in a giant pedunculated lipoma of the esophagus in a 49-year-old Korean woman who presented intermittent swallowing difficulty for 3 years is reported. Endoscopy and esophagography revealed that a giant smooth longitudinal tumor mass almost entirely occupied the esophageal lumen. A total esohagectomy was done. The tumor was 20 cm in length and 7 cm in average diameter with an obvious stalk measuring 3 cm in length and 1 cm in diameter. Microscopic examination disclosed a lipoma with focal ulceration and liposarcomatous change infiltrating into interstitial fibrous tissue at its distal end.

摘要

报道了一例49岁韩国女性食管巨大带蒂脂肪瘤合并脂肪肉瘤的病例,该患者有3年间歇性吞咽困难病史。内镜检查和食管造影显示,一个巨大的光滑纵向肿瘤块几乎完全占据了食管腔。进行了全食管切除术。肿瘤长20厘米,平均直径7厘米,有一个明显的蒂,长3厘米,直径1厘米。显微镜检查发现脂肪瘤有局灶性溃疡,远端有脂肪肉瘤样改变浸润到间质纤维组织中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f91b/4534968/7818bd199885/kjim-4-1-86-13f1.jpg

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