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黏膜外摘除术仍是巨大食管平滑肌瘤安全可行的治疗选择。

Extra-mucosal enucleation is still a safe and feasible treatment option of giant esophageal leiomyomas.

作者信息

Perwaiz Azhar, Shaw Vinay Kumar, Singh Amanjeet, Chaudhary Adarsh

机构信息

Department of GI Surgery, GI Oncology, MAS and Bariatric Surgery, Medanta, The Medicity, Sector 38, Gurgaon, 122 018, India.

出版信息

Indian J Gastroenterol. 2018 Jan;37(1):63-66. doi: 10.1007/s12664-018-0835-z. Epub 2018 Feb 21.

DOI:10.1007/s12664-018-0835-z
PMID:29464545
Abstract

Esophageal leiomyoma (EL) is rare but still the most common benign tumor of the esophagus. Extra-mucosal enucleation (EME) is the treatment of choice. Many recent reports have favored esophageal resection for giant Esophageal leiomyomas (ELs). The consequence of esophageal resection is well known and it would be radical to consider it as a preferred treatment for giant EL since most of them are still benign. We share case series of five giant ELs managed by EME, avoiding a mucosal breach and hence avoiding potentially morbid esophageal resections.

摘要

食管平滑肌瘤(EL)较为罕见,但仍是食管最常见的良性肿瘤。黏膜外摘除术(EME)是首选的治疗方法。最近许多报告都倾向于对巨大食管平滑肌瘤(EL)进行食管切除术。食管切除术的后果是众所周知的,将其视为巨大EL的首选治疗方法是激进的,因为大多数巨大EL仍是良性的。我们分享了通过EME治疗的5例巨大EL的病例系列,避免了黏膜破裂,从而避免了潜在的高风险食管切除术。

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本文引用的文献

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Submucosal tunnelling endoscopic resection (STER) for the treatment of a case of huge esophageal tumor arising in the muscularis propria: a case report and review of literature.经黏膜下隧道内镜切除术(STER)治疗1例源于固有肌层的巨大食管肿瘤:病例报告及文献复习
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