Lee Seung-Hwa, Lee Duck-Joo, Kim Kwang-Min, Kim Kyu-Nam, Kang Joon-Koo
Professor, Health Promotion Centre, Ajou University Hospital and Ajou University School of Medicine, South Korea.
Professor, Health Promotion Centre, Ajou University Hospital and Ajou University School of Medicine, South Korea
Scott Med J. 2014 Aug;59(3):e1-5. doi: 10.1177/0036933014542375. Epub 2014 Jun 25.
Most ectopic sebaceous glands have been reported in the tissues of ectodermal origin. However, there are relatively a few reports of ectopic sebaceous glands in the oesophagus, an organ of endodermal origin.
We report the case of an asymptomatic 54-year-old man with ectopic oesophageal sebaceous glands. These lesions were incidentally observed in the distal oesophagus during screening endoscopy of gastric neoplasm and confirmed by histologic analysis.
Surveillance or resection with regard to ectopic sebaceous glands in the oesophagus is generally not required since there is no known malignant potential. However, anti-reflux treatment may be sometimes needed, if such symptoms are present in patients. Also, these lesions should be differentiated from other pathologic lesions of oesophagus that need to be treated. Thus, greater attention of endoscopists is required for detection and differential diagnosis of these lesions. The narrow-band imaging mode and/or endoscopic biopsy may be helpful.
大多数异位皮脂腺已报道见于外胚层起源的组织中。然而，关于异位皮脂腺出现在内胚层起源的器官——食管中的报道相对较少。
我们报告一例54岁无症状男性患有异位食管皮脂腺的病例。这些病变在胃癌筛查内镜检查时于食管远端偶然发现，并经组织学分析确诊。
由于尚无已知的恶性潜能，一般无需对食管异位皮脂腺进行监测或切除。然而，如果患者出现此类症状，有时可能需要进行抗反流治疗。此外，这些病变应与其他需要治疗的食管病理病变相鉴别。因此，内镜医师在检测和鉴别诊断这些病变时需要更加留意。窄带成像模式和/或内镜活检可能会有所帮助。
