Division of Gastroenterology, Tohoku University Graduate School of Medicine, Japan.
Department of Pathology, Tohoku University Graduate School of Medicine, Japan.
Intern Med. 2021 May 15;60(10):1529-1532. doi: 10.2169/internalmedicine.6321-20. Epub 2020 Dec 7.
A 72-year-old man without any symptoms was referred to our hospital. Esophagogastroduodenoscopy revealed an elevated esophageal lesion that was covered with normal mucosa. The examination of biopsy specimens from the lesion revealed amyloid light-chain (AL) (λ) type amyloid deposits, but there were no amyloid deposits elsewhere in the gastrointestinal tract. Further examinations did not indicate systemic amyloidosis. Thus, this case was diagnosed as a localized esophageal amyloidosis. As the clinical outcome of localized amyloidosis is favorable, this case was scheduled for close follow-up. Localized amyloidosis should be considered in the differential diagnosis of esophageal submucosal tumors.
一位 72 岁的男性患者无症状,被转至我院。食管胃十二指肠镜检查发现食管有一隆起性病变,表面覆盖正常黏膜。病变活检标本检查显示为淀粉样轻链(AL)(λ)型淀粉样物质沉积,但胃肠道其他部位没有淀粉样物质沉积。进一步的检查未提示系统性淀粉样变性。因此,该病例诊断为局限性食管淀粉样变性。由于局限性淀粉样变性的临床结局良好,该病例被安排密切随访。在食管黏膜下肿瘤的鉴别诊断中应考虑到局限性淀粉样变性。