Łochowski Mariusz P, Kozak Katarzyna, Rębowski Marek, Kozak Józef
Clinic of Thoracic Surgery and Respiratory Rehabilitation, Medical University of Lodz, M. Copernicus Provincial Specialist Hospital, Lodz, Poland.
Kardiochir Torakochirurgia Pol. 2016 Dec;13(4):319-321. doi: 10.5114/kitp.2016.64873. Epub 2016 Dec 30.
Intramural esophageal tumors (IET) are located between unchanged mucous membrane and muscularis mucosae. They can be both benign and malignant.
To evaluate diagnostic and therapeutic difficulties of IET.
During the years 2010-2015, 11 patients with IET were treated in our clinic. Diagnostics included gastroscopy, computed tomography of the chest, endoscopic ultrasound (EUS) guided fine needle biopsy, and positron emission tomography (PET) of the esophagus in cases with no histopathological confirmation.
Based on the conducted analysis we diagnosed 1 case of gastrointestinal stromal tumor (GIST), 1 case of adenocarcinoma, and 2 cases of esophageal cysts. In another 7 cases radiological images resembled leiomyoma but with no histopathological confirmation. Esophagectomy was performed in 2 cases of malignant tumors and 1 case of a large benign tumor. In other cases surgical enucleation of tumors was performed. Postoperatively we diagnosed 6 cases of leiomyoma, 1 case of schwannoma, 2 esophageal cysts, 1 case of GIST and 1 of esophageal cancer.
Intramural esophageal tumors is a very diverse group of tumors, both malignant and benign. In every case of IET we should seek histopathological conformation. Treatment of IET depends on localization, size and histopathological type of lesion.
壁内食管肿瘤（IET）位于未改变的黏膜和黏膜肌层之间。它们可以是良性的，也可以是恶性的。
评估IET的诊断和治疗难点。
2010年至2015年期间，我们诊所治疗了11例IET患者。诊断方法包括胃镜检查、胸部计算机断层扫描、内镜超声（EUS）引导下细针穿刺活检，以及在没有组织病理学确诊的情况下进行食管正电子发射断层扫描（PET）。
根据所进行的分析，我们诊断出1例胃肠道间质瘤（GIST）、1例腺癌和2例食管囊肿。另外7例的影像学图像类似平滑肌瘤，但没有组织病理学确诊。2例恶性肿瘤和1例大型良性肿瘤进行了食管切除术。其他病例进行了肿瘤的手术摘除。术后我们诊断出6例平滑肌瘤、1例神经鞘瘤、2例食管囊肿、1例GIST和1例食管癌。
壁内食管肿瘤是一组非常多样化的肿瘤，包括恶性和良性。对于每一例IET，我们都应寻求组织病理学确诊。IET的治疗取决于病变的位置、大小和组织病理学类型。
