一例经内镜黏膜切除术成功治疗的带蒂食管平滑肌瘤病例。
A Case of Pedunculated Esophageal Leiomyoma Successfully Treated by Endoscopic Mucosal Resection.
作者信息
Tsuda Shingo, Matsushima Masashi, Suzuki Takayoshi, Kawanishi Aya, Carreras Joaquim, Nakamura Jun, Tsukune Yoko, Uchida Tetsufumi, Koike Jun, Igarashi Muneki, Mine Tetsuya, Imai Yutaka
机构信息
Departments of Internal Medicine (Gastroenterology), Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan.
出版信息
Tokai J Exp Clin Med. 2017 Sep 20;42(3):121-125.
Leiomyoma is one of the most commonly observed esophageal submucosal tumors, often appearing as a smooth-surfaced and semicircular protruded lesion. It sometimes grows toward the esophageal lumen and may be pedunculated in rare cases. We encountered a case of a pedunculated esophageal submucosal tumor diagnosed before treatment as a leiomyoma originating in the muscularis mucosae of a 68-year-old man. As the tumor arose in the muscularis mucosae, it could be safely resected via an endoscopic procedure. Only one case of pedunculated leiomyoma has been reported to date, and we herein report the second case, which was successfully treated by a minimally invasive endoscopic technique.
平滑肌瘤是最常见的食管黏膜下肿瘤之一，常表现为表面光滑的半圆形突出病变。它有时向食管腔内生长，罕见情况下可能有蒂。我们遇到一例有蒂的食管黏膜下肿瘤病例，该病例在治疗前被诊断为一名68岁男性起源于黏膜肌层的平滑肌瘤。由于肿瘤起源于黏膜肌层，可通过内镜手术安全切除。迄今为止仅报道过一例有蒂平滑肌瘤病例，在此我们报告第二例，该病例通过微创内镜技术成功治疗。
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