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一名因碱液所致食管狭窄的患者出现类似食管鳞状细胞癌的假上皮瘤样增生。

Pseudoepitheliomatous hyperplasia mimicking esophageal squamous cell carcinoma in a patient with lye-induced esophageal stricture.

作者信息

Han Jang Soo, Lee Sang Woo, Suh Kang Heum, Kim Seung Young, Hyun Jong Jin, Jung Sung Woo, Koo Ja Seol, Yim Hyung Joon

机构信息

Department of Internal Medicine, Korea University Ansan Hospital, 123 Jeokgeum-ro, Danwon-gu, Ansan 425-707, Korea.

出版信息

Korean J Gastroenterol. 2014 Jun;63(6):366-8. doi: 10.4166/kjg.2014.63.6.366.

Abstract

Pseudoepitheliomatous hyperplasia is a benign condition that may be caused by prolonged inflammation, chronic infection, and/or neoplastic conditions of the mucous membranes or skin. Due to its histological resemblance to well-differentiated squamous cell carcinoma, pseudoepitheliomatous hyperplasia may occasionally be misdiagnosed as squamous cell carcinoma. The importance of pseudoepitheliomatous hyperplasia is that it is a self-limited condition that must be distinguished from squamous cell carcinoma before invasive treatment. We report here on a rare case of esophageal pseudoepitheliomatous hyperplasia in a 67-year-old Korean woman with a lye-induced esophageal stricture. Although esophageal pseudoepitheliomatous hyperplasia is infrequently encountered, pseudoepitheliomatous hyperplasia should be considered in the differential diagnosis of esophageal lesions.

摘要

假上皮瘤样增生是一种良性病变,可能由黏膜或皮肤的长期炎症、慢性感染和/或肿瘤性疾病引起。由于其组织学表现与高分化鳞状细胞癌相似,假上皮瘤样增生偶尔可能被误诊为鳞状细胞癌。假上皮瘤样增生的重要性在于它是一种自限性疾病,在进行侵入性治疗之前必须与鳞状细胞癌相鉴别。我们在此报告一例67岁韩国女性因碱液性食管狭窄导致的食管假上皮瘤样增生罕见病例。尽管食管假上皮瘤样增生并不常见,但在食管病变的鉴别诊断中应考虑到假上皮瘤样增生。

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