Liyen Cartelle Anabel, Holzwanger Erik A, Igbinedion Samuel, Mahmood Sultan, Rosenberg Harry J, Berzin Tyler M, Sawhney Mandeep S, Gabr Moamen, Pleskow Douglas K
Department of General Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
Center for Advanced Endoscopy, Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
ACG Case Rep J. 2023 Dec 21;10(12):e01229. doi: 10.14309/crj.0000000000001229. eCollection 2023 Dec.
Pyloric gland adenomas (PGAs) are rare neoplasms found not only in the gastrointestinal tract but also in other extragastrointestinal organs. They have potential for malignant conversion, and early detection and removal is imperative to prevent invasive disease. PGAs prove difficult in management and surveillance given their rarity. However, increasing familiarity with histological appearance and use of advanced tools such as echoendosonography can bring greater understanding of their clinical history. We describe a unique case of a PGA detected within a hiatal hernia sac characterized with echoendosonography and highlight the need to develop surveillance protocols for these types of lesions.
幽门腺腺瘤（PGAs）是一种罕见的肿瘤，不仅见于胃肠道，也见于其他胃肠道外器官。它们有恶变的可能，早期发现并切除对于预防侵袭性疾病至关重要。鉴于其罕见性，PGAs的管理和监测颇具难度。然而，随着对其组织学表现的日益熟悉以及诸如超声内镜等先进工具的使用，能使人们对其临床病史有更深入的了解。我们描述了一例在食管裂孔疝囊内发现的经超声内镜检查确诊的独特PGA病例，并强调为这类病变制定监测方案的必要性。
