食管巨大纤维血管性息肉的临床表现：病例报告及文献综述
Presenting symptoms of giant fibrovascular polyp of the oesophagus: case report and literature review.
作者信息
Sestini S, Gisabella M, Pastorino U, Billé A
机构信息
Fondazione IRCCS, Istituto Nazionale dei Tumori , Milan , Italy.
Thoracic Surgery at Guys Hospital , UK.
出版信息
Ann R Coll Surg Engl. 2016 May;98(5):e71-3. doi: 10.1308/rcsann.2016.0127.
INTRODUCTION
Lipomas of the gastrointestinal tract are rare, slow-growing lesions that comprise 0.4% of all gastrointestinal neoplasms. They can cause dysphagia, dyspnoea or sudden choking.
CASE HISTORY
Due to rarity of this condition and its uncommon presentation, a literature review was carried out (PubMed). This search revealed 290 articles, of which 74 were considered pertinent and were evaluated. We report a case of a 13cm pedunculated oesophageal lipoma that presented with increasing dysphagia and two episodes of suffocation. The patient underwent curative resection through a cervical approach.
CONCLUSIONS
Resection is recommended for large (>5 cm) or symptomatic polyps. Outcomes are excellent given that lesions are universally benign and oesophageal resection is not required.
引言
胃肠道脂肪瘤是罕见的、生长缓慢的病变，占所有胃肠道肿瘤的0.4%。它们可导致吞咽困难、呼吸困难或突然窒息。
病例史
由于这种疾病罕见且表现不常见，因此进行了文献综述（PubMed）。该检索发现了290篇文章，其中74篇被认为相关并进行了评估。我们报告一例13厘米带蒂食管脂肪瘤病例，该患者出现吞咽困难加重和两次窒息发作。患者通过颈部入路接受了根治性切除术。
结论
对于大的（>5厘米）或有症状的息肉，建议进行切除。鉴于病变普遍为良性且无需进行食管切除，预后良好。
Zotero 插件