Li Bin, Wang Xue, Zou Wen-Lu, Yu Shu-Xia, Chen Yong, Xu Hong-Wei
Department of Gastroenterology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250012, Shangdong Province, China.
Department of Gastroenterology,Dezhou People's Hospital, Dezhou 253014, Shangdong Province, China.
World J Clin Cases. 2020 Nov 26;8(22):5690-5700. doi: 10.12998/wjcc.v8.i22.5690.
Esophageal schwannomas are uncommon esophageal submucosal benign tumors and are usually treated with surgery.
Here, we report three cases of middle/lower thoracic esophageal schwannoma treated successfully with endoscopic resection. These lesions were misdiagnosed as leiomyoma on preoperative imaging. During the endoscopic resection of such tumors, there is a risk of esophageal perforation due to their deep location. If possible, submucosal tunneling endoscopic resection should be used.
For larger schwannomas, endoscopy combined with thoracoscopy can be considered for en bloc resection. We performed a mini literature review in order to present the current status of diagnosis and treatment for esophageal schwannoma.
食管神经鞘瘤是罕见的食管黏膜下良性肿瘤,通常采用手术治疗。
在此,我们报告3例中/下段胸段食管神经鞘瘤经内镜切除成功治疗的病例。这些病变在术前影像学检查中被误诊为平滑肌瘤。在内镜切除此类肿瘤时,由于其位置较深,存在食管穿孔的风险。如果可能,应采用黏膜下隧道内镜切除术。
对于较大的神经鞘瘤,可考虑内镜联合胸腔镜进行整块切除。我们进行了一项小型文献综述,以介绍食管神经鞘瘤的诊断和治疗现状。