Vanclooster P, Lerut T, Gruwez J A
Dienst Algemene Heelkunde, Katholieke Universiteit Leuven.
Acta Chir Belg. 1988 Jan-Feb;88(1):9-12.
Intramural bronchogenic cysts of the esophagus are uncommon. These benign esophageal tumors result from a wrong cleavage of the primitive gut in the 4 weeks old embryo. Symptoms are often absent or atypical. By roentgenography and esophagoscopy, the diagnosis of benign tumor can be made. Even CT-scan can't give absolute certainty about the exact nature of the lesion. An exploratory thoracotomy, with enucleation of the tumor, is needed in all cases for definite diagnosis and treatment. The cysts are lined by columnar ciliated epithelium of the respiratory type. The presence of hyaline cartilage within the wall of the cyst allows to make the difference for sure between an esophageal cyst of bronchogenic origin and a cyst of enterogenous origin.
食管壁内支气管源性囊肿并不常见。这些良性食管肿瘤是由于4周龄胚胎原始肠道的错误分隔所致。症状通常不存在或不典型。通过X线造影和食管镜检查,可以做出良性肿瘤的诊断。即使CT扫描也无法绝对确定病变的确切性质。在所有病例中,都需要进行开胸探查并摘除肿瘤,以明确诊断和治疗。囊肿内衬呼吸道型柱状纤毛上皮。囊肿壁内存在透明软骨有助于明确区分支气管源性食管囊肿和肠源性囊肿。