Nasa Mukesh, Patil Gaurav, Sharma Zubin, Puri Rajesh
Consultant.
DNB Fellow.
J Assoc Physicians India. 2017 Feb;65(2):96-97.
Patterson Brown Kelly or Plummer-Vinson syndrome is characterized by dysphagia, iron deficiency anemia and post-cricoidal esophageal web. Waldenstorm introduced the term 'sideropenic dysphagia' because of absence of stainable iron in the bone marrow. There is increased incidence of upper aero-digestive tract carcinoma in patients with Plummer-Vinson syndrome has been well established. The reported rates range from 4% to 16%, with almost all cases occurring at the postcricoid location.We have reported here a case of a 48-year-old woman with dysphagia , upper esophageal web and iron deficiency anemia . Dilatation of esophageal web with subsequent endoscopy showed mid- esophageal growth which on biopsy showed squamous cell carcinoma.
帕特森-布朗-凯利综合征或普卢默-文森综合征的特征为吞咽困难、缺铁性贫血和环状软骨后食管蹼。瓦尔登斯特伦提出了“缺铁性吞咽困难”这一术语,因为骨髓中缺乏可染色的铁。普卢默-文森综合征患者上消化道癌的发病率增加已得到充分证实。报告的发病率在4%至16%之间,几乎所有病例都发生在环状软骨后部位。我们在此报告了一例48岁女性患者,有吞咽困难、食管上段蹼和缺铁性贫血。食管蹼扩张并随后进行内镜检查显示食管中段有肿物,活检显示为鳞状细胞癌。