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颈椎段食管软骨瘤性错构瘤:一例报告及文献复习

Chondromatous hamartoma of cervical esophagus: a case report and literature review.

作者信息

Zhang Chong, Xu Jinming, Wang Zhitian, He Zhehao, Yang Hanjin, Hu Jian

机构信息

Department of Thoracic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.

Department of Pathology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.

出版信息

J Thorac Dis. 2017 Mar;9(3):E236-E244. doi: 10.21037/jtd.2017.02.79.

Abstract

Esophageal chondromatous hamartomas are very rare tumors, characterized by proliferating hyaline cartilage cells. We described the case of a 64-year-old woman, with a progressive foreign body sensation in the laryngopharynx caused by an intraluminal pedicled mass. Transcervical esophagectomy was performed and intraoperative biopsy revealed the mass was a cervical esophageal chondromatous hamartoma. The patient's postoperative course was uneventful and she recovered well. A review of the literature was conducted, and the symptoms, locations, histopathology findings, treatment methods and follow up results of esophageal hamartoma cases were summarized. We found that pre-operative endoscopic ultrasonography-guided fine-needle aspiration (EUS-FNA) can aid in diagnosis and that aggressive surgical treatment should be recommended for cervical esophageal hamartomas.

摘要

食管软骨瘤性错构瘤是非常罕见的肿瘤,其特征为透明软骨细胞增生。我们描述了一例64岁女性病例,其因腔内带蒂肿物导致喉咽出现进行性异物感。实施了经颈食管切除术,术中活检显示该肿物为颈段食管软骨瘤性错构瘤。患者术后恢复顺利。我们进行了文献回顾,总结了食管错构瘤病例的症状、部位、组织病理学发现、治疗方法及随访结果。我们发现术前内镜超声引导下细针穿刺抽吸术(EUS-FNA)有助于诊断,对于颈段食管错构瘤应推荐积极的手术治疗。

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