Wolf B C, Khettry U, Leonardi H K, Neptune W B, Bhattacharyya A K, Legg M A
Department of Pathology, New England Deaconess Hospital, Boston, MA 02215.
Hum Pathol. 1988 Feb;19(2):148-54. doi: 10.1016/s0046-8177(88)80342-3.
Three cases of benign lesions which mimicked malignant tumors of the esophagus are described. In all three cases, two inflammatory pseudotumors and one case of diffuse leiomyomatosis, the clinical presentations, radiologic features, and gross pathologic findings led to the mistaken diagnosis of carcinoma at thoracotomy. The benign nature of the processes was recognizable only on microscopic examination. Although most benign tumors of the esophagus are localized solitary lesions that are easily distinguished from carcinoma, occasionally benign conditions may present as infiltrative, ulcerated mass lesions. Inflammatory pseudotumor and diffuse leiomyomatosis should be included in the differential diagnosis of esophageal malignancies.
本文描述了三例疑似食管恶性肿瘤的良性病变。在这三例病例中，两例为炎性假瘤，一例为弥漫性平滑肌瘤病，其临床表现、放射学特征和大体病理表现导致开胸手术时误诊为癌。这些病变的良性性质仅在显微镜检查时才能识别。虽然大多数食管良性肿瘤是局限性孤立性病变，容易与癌区分，但偶尔良性病变也可能表现为浸润性、溃疡性肿块病变。炎性假瘤和弥漫性平滑肌瘤病应列入食管恶性肿瘤的鉴别诊断。
