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起源于插入结肠段的侧向扩散性肿瘤。

Lateral Spreading Tumor Arising in an Interposed Colonic Segment.

作者信息

Simões Carolina, Moura Miguel, Noronha Ferreira Carlos, Rosa Rosario, Freire José Paulo, Carrilho Ribeiro Luís, Tato Marinho Rui

机构信息

Department of Gastroenterology and Hepatology, Hospital de Santa Maria, Centro Hospitalar Universitario Lisboa Norte, Lisboa, Portugal.

Department of General Surgery, Hospital de Santa Maria, Centro Hospitalar Universitario Lisboa Norte, Lisboa, Portugal.

出版信息

ACG Case Rep J. 2019 Oct 21;6(10):e00245. doi: 10.14309/crj.0000000000000245. eCollection 2019 Oct.

DOI:10.14309/crj.0000000000000245
PMID:31832471
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6855537/
Abstract

A 57-year-old woman developed dysphagia 30 years after esophagectomy with partial gastrectomy and colonic interposition due to severe and extensive caustic esophageal stricture. Upper gastrointestinal endoscopy showed a lateral spreading tumor in the colonic tube with a granular surface measuring 40 mm in diameter. The lesion was removed by piecemeal endoscopic mucosal resection. Histology revealed tubular adenoma with low/high-grade dysplasia. Although colonic interposition replacement is a relatively common procedure, especially in the past, the development of adenoma or adenocarcinoma as a late complication is very rare.

摘要

一名57岁女性在因严重广泛性腐蚀性食管狭窄行食管切除术、部分胃切除术及结肠代食管术后30年出现吞咽困难。上消化道内镜检查显示结肠段有一横向扩展的肿瘤，表面呈颗粒状，直径40毫米。通过内镜下黏膜分片切除术切除了病变。组织学检查显示为管状腺瘤伴低/高级别异型增生。尽管结肠代食管术是一种相对常见的手术，尤其是在过去，但腺瘤或腺癌作为晚期并发症的发生非常罕见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2acc/6855537/3ca3b938a89d/ac9-6-e00245-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2acc/6855537/7a41f14c9469/ac9-6-e00245-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2acc/6855537/3ca3b938a89d/ac9-6-e00245-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2acc/6855537/7a41f14c9469/ac9-6-e00245-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2acc/6855537/3ca3b938a89d/ac9-6-e00245-g002.jpg

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本文引用的文献

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Primary adenocarcinoma arising in esophageal colon interposition for corrosive esophageal injury: a case report and review of the literature.腐蚀性食管损伤行食管结肠间置术后原发性腺癌：一例报告并文献复习
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