Eluvathingal Muttikkal Thomas J, Shami Vanessa M, Jones David R, Rehm Patrice K
Department of Radiology, University of Virginia, Charlottesville, Virginia, USA.
Department of Digestive Health, University of Virginia, Charlottesville, Virginia, USA.
J Radiol Case Rep. 2014 Nov 30;8(11):42-6. doi: 10.3941/jrcr.v8i11.2060. eCollection 2014 Nov.
Esophageal carcinoma arising within an epiphrenic diverticulum is rare. We describe a case of a carcinoma in a long-standing epiphrenic diverticulum in a 62-year-old patient. Fluorine-18-2-Fluoro-2-Deoxy-D-Glucose Positron Emission Tomography and Computed Tomography, and endoscopic ultrasound revealed a hypermetabolic mass within the diverticulum. A preoperative diagnosis was made via endoscopic biopsy. The patient underwent Ivor-Lewis esophagectomy. He remains well and free of recurrence 18 months after surgery.
膈上憩室内发生的食管癌很罕见。我们描述了一例62岁患者长期存在的膈上憩室内发生癌的病例。氟-18-2-氟-2-脱氧-D-葡萄糖正电子发射断层扫描和计算机断层扫描以及内镜超声显示憩室内有一个高代谢肿块。通过内镜活检做出了术前诊断。患者接受了Ivor-Lewis食管切除术。术后18个月,他情况良好,无复发。