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食管巨大纤维血管息肉手术切除后监测很重要。

Surveillance Is Important After Surgical Excision of Giant Fibrovascular Polyps of the Esophagus.

作者信息

Cockbain Andrew J, England Ruth, Dexter Simon P L, Sarela Abeezar I

机构信息

Department of Upper Gastrointestinal Surgery, St. James's University Hospital, Leeds, United Kingdom; Department of Radiology, St. James's University Hospital, Leeds, United Kingdom.

Department of Upper Gastrointestinal Surgery, St. James's University Hospital, Leeds, United Kingdom.

出版信息

Ann Thorac Surg. 2017 Oct;104(4):e341-e343. doi: 10.1016/j.athoracsur.2017.05.049.

Abstract

Giant fibrovascular polyps of the esophagus are rare benign tumors arising from the cervical esophagus or hypopharynx. Radiologic and endoscopic investigation may struggle to identify a stalk or to delineate the tumor as luminal or submucosal in origin. Excision is advised, although the diagnosis, and therefore the optimal operative approach, may not be apparent until the time of operation. Individual case reports describe the technical success of surgical excision but rarely include follow-up. Our case series highlights the range of approaches for surgical excision and also the importance of long-term follow-up because of the risk of recurrence and potential for airway obstruction.

摘要

食管巨大纤维血管息肉是起源于颈段食管或下咽的罕见良性肿瘤。放射学和内镜检查可能难以确定蒂部,也难以将肿瘤界定为腔内或黏膜下起源。建议进行切除,尽管直到手术时诊断,进而最佳手术方式可能都不明确。个别病例报告描述了手术切除的技术成功,但很少包括随访情况。我们的病例系列强调了手术切除方法的多样性,以及由于复发风险和气道梗阻可能性而进行长期随访的重要性。

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