食管带蒂高分化脂肪肉瘤，酷似巨大纤维血管性息肉。
Pedunculated, well differentiated liposarcoma of the oesophagus mimicking giant fibrovascular polyp.
作者信息
Mehdorn A S, Schmidt F, Steinestel K, Wardelmann E, Greulich B, Palmes D, Senninger N
机构信息
University of Münster , Germany.
出版信息
Ann R Coll Surg Engl. 2017 Sep;99(7):e209-e212. doi: 10.1308/rcsann.2017.0117.
Abstract
We present a rare case of a big oesophageal liposarcoma causing dysphagia and weight loss in a 75-year-old patient. Endoscopically, a pedunculated lesion with subtotal obstruction of the oesophageal lumen had been detected and thoracoabdominal oesophageal resection with gastric sleeve reconstruction was performed. Surprisingly, a liposarcoma of the oesophagus was revealed on histopathological analysis, showing MDM2 overexpression. Oncological follow-up has been uneventful and the patient remains in good clinical shape at 15 months after surgery.
摘要
我们报告了一例罕见的巨大食管脂肪肉瘤病例，该病例发生在一名75岁的患者身上，导致吞咽困难和体重减轻。在内镜检查中，发现了一个带蒂病变，导致食管腔部分梗阻，随后进行了胸腹段食管切除并胃袖状重建术。令人惊讶的是，组织病理学分析显示为食管脂肪肉瘤，伴有MDM2过表达。肿瘤学随访过程顺利，患者术后15个月临床状况良好。
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