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一例经胸腔镜手术治疗的食管神经鞘瘤病例报告。

A case report of oesophageal schwannoma with thoracoscopic surgery.

作者信息

Hu Zhiliang, He Zhun, Li Xianfeng, Peng Chuanliang, Li Zhen

机构信息

Thoracic Department, The Affiliated Hospital of Jining Medical University, Jining, China.

Thoracic Department, Xinjiang Uygur Autonomous Region People's Hospital, Xinjiang, China.

出版信息

J Minim Access Surg. 2017 Jul-Sep;13(3):234-236. doi: 10.4103/jmas.JMAS_271_16.

Abstract

Oesophageal schwannomas is a rare tumour and most commonly found incidentally or from diagnostic workup of dysphagia or dyspnoea. Most oesophageal schwannomas are benign and more frequently occurs in female than in the male. To date, <40 cases have been described in the English literature. In this study, we reported the case of a 57-year-old woman visited our hospital with the symptom of long-time dysphagia. A thoracic computed tomography demonstrated an upper oesophageal well marginated and homogeneous mass that adhered to the right wall of the oesophagus. Oesophageal endoscopy showed an extrinsic bulge 21 cm distal to the incisors with normal overlying mucosa. Strictly on a clinical and radiologic basis, this entity is impossible to definitively diagnose, the final diagnosis was based on histopathology and immunohistochemistry. Tumour cells stain positive for S100, a characteristic marker of Schwann cell. A minimally invasive thoracoscopic surgery was performed. The post-operative period was uneventful.

摘要

食管神经鞘瘤是一种罕见肿瘤,最常见于偶然发现或因吞咽困难或呼吸困难进行诊断检查时发现。大多数食管神经鞘瘤是良性的,女性比男性更易发生。迄今为止,英文文献中描述的病例不到40例。在本研究中,我们报告了一名57岁女性因长期吞咽困难症状前来我院就诊的病例。胸部计算机断层扫描显示食管上段有一个边界清晰、密度均匀的肿块,附着于食管右壁。食管内镜检查显示在门齿21厘米处有一个外在性隆起,其上方黏膜正常。严格基于临床和影像学表现,无法明确诊断该疾病,最终诊断基于组织病理学和免疫组织化学检查。肿瘤细胞S100染色呈阳性,这是施万细胞的特征性标志物。患者接受了微创胸腔镜手术。术后恢复顺利。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/841e/5485818/8e6ec2d92b1a/JMAS-13-234-g001.jpg

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