Dienst C, Löffler A, Günther M, Raab M
Dtsch Med Wochenschr. 1985 Aug 30;110(35):1331-4. doi: 10.1055/s-2008-1069005.
A granular-cell oesophageal tumour was demonstrated in a 47-year-old man. With rare exception this type of tumour is benign. As it grows dysphagia develops. Surgical resection is the treatment of choice. It should be a wide excision, because the non-encapsulated tumour is microscopically more extensive than macroscopically. If too little is excised it may recur. But the high operative risk justifies expectant waiting, perhaps combined with local partial endoscopic removal of the tumour. Only in the rare instance of a small or pedicled tumour is total endoscopic excision possible.
一名47岁男性被诊断出患有颗粒细胞性食管肿瘤。除极少数情况外，这种类型的肿瘤是良性的。随着肿瘤生长，会出现吞咽困难。手术切除是首选治疗方法。应进行广泛切除，因为这种无包膜的肿瘤在显微镜下比肉眼可见的范围更广。如果切除太少，可能会复发。但由于手术风险高，可选择观察等待，或许结合局部内镜下部分肿瘤切除术。只有在极少数情况下，即肿瘤较小或有蒂时，才可能进行完全内镜切除。
