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食管上皮-肌上皮癌:一例报告

Epithelial-Myoepithelial Carcinoma of the Esophagus: A Case Report.

作者信息

Wu Haohao, Zhang Fangbiao, Peng Jiahui, Wu Zhiju, Zhang Xiangyan, Wu Xingzhen

机构信息

Department of Emergency, Zhejiang University, Lishui Hospital, Lishui Municipal Central Hospital, Lishui, China.

Department of Cardiothoracic Surgery, Zhejiang University, Lishui Hospital, Lishui Municipal Central Hospital, Lishui, China.

出版信息

Front Surg. 2022 Jul 6;9:942019. doi: 10.3389/fsurg.2022.942019. eCollection 2022.

Abstract

Epithelial-myoepithelial carcinoma (EMC) of the esophagus is a rare biphasic tumor with low malignant potential, which has not previously been reported in the published literature. The present study describes the case of an asymptomatic, 53-year-old male who presented with EMC in the esophagus during a gastroscopic examination. Esophageal computed tomography (CT) showed thickening of the wall of the lower esophagus with a thickness of about 0.7 cm, and an enhanced scan showed uneven enhancement of the thickened esophageal wall. Thoracoscopic esophagectomy was performed because the tumor was malignant. Histopathology revealed that the tumor was characterized by a biphasic architecture consisting of cuboidal ductal cells and myoepithelial cells. The patient's postoperative recovery was eventful, an anastomotic fistula occurred, and the patient was discharged from the hospital after 84 days. One year postsurgery, the patient remained in good health, with no evidence of metastasis and recurrence.

摘要

食管上皮-肌上皮癌(EMC)是一种罕见的具有低恶性潜能的双相肿瘤,此前在已发表的文献中尚未见报道。本研究描述了一例无症状的53岁男性,在胃镜检查时发现食管存在EMC。食管计算机断层扫描(CT)显示食管下段壁增厚,厚度约为0.7 cm,增强扫描显示增厚的食管壁强化不均匀。由于肿瘤为恶性,故行胸腔镜食管切除术。组织病理学显示,肿瘤具有由立方状导管细胞和肌上皮细胞组成的双相结构。患者术后恢复过程顺利,发生了吻合口瘘,84天后出院。术后一年,患者健康状况良好,无转移和复发迹象。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb0c/9299084/59a82201b3fd/fsurg-09-942019-g001.jpg

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