Letessier E, Aillet G, Lehur P A, Paineau J, Couderc J P, Gibaud H, Le Mouroux M, Visset J
Service de Chirurgie Générale et Digestive, Hôpital G. & R. Laennec, Nantes.
J Chir (Paris). 1988 May;125(5):337-40.
A 51-year-old man had epidermoid carcinoma in the middle third of the esophagus. The esophagus was resected. On histologic examination there was a granular cell tumor in the lower third of the esophagus. The patient died 4 months after surgery from pulmonary failure. Granular cell tumors are generally benign. There have been 86 cases involving the esophagus discussed in the literature; 7 cases were associated with bronchial [3], esophageal [2], gastric [1] or otolaryngeal [1] carcinoma and 1 with a lymphoma. Our case emphasizes the need to evaluate the entire esophagus when a lesion is identified. The occurrence of granular cell tumor of the esophagus justifies prolonged surveillance in order not to neglect an associated tumor.
一名51岁男性患有食管中段的表皮样癌。食管被切除。组织学检查发现食管下段有颗粒细胞瘤。患者术后4个月死于呼吸衰竭。颗粒细胞瘤通常为良性。文献中讨论了86例累及食管的病例；7例与支气管[3]、食管[2]、胃[1]或耳鼻喉科[1]癌相关，1例与淋巴瘤相关。我们的病例强调，当发现病变时，需要对整个食管进行评估。食管颗粒细胞瘤的发生证明了进行长期监测的必要性，以免忽视相关肿瘤。
