Nanjo Katsuya, Tsurumaru Daisuke, Hirakawa Masakazu, Nishimuta Yusuke, Mimori Koshi, Ishigami Kousei
Department of Radiology, Kyushu University Beppu Hospital, Beppu-city, Oita, Japan.
Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Fukuokas-city, Fukuoka, Japan.
Radiol Case Rep. 2024 Aug 13;19(11):4841-4844. doi: 10.1016/j.radcr.2024.07.144. eCollection 2024 Nov.
A case of esophageal lymphangioma in a 75-year-old man who complained of worsening dysphagia is presented. Endoscopic ultrasound showed an echogenic pattern of honeycomb or grid-like multiple microcysts within the submucosa. The sagittal image of computed tomography showed a thickened esophageal wall and fluid retention in the proximal esophageal lumen. Magnetic resonance imaging showed a high signal intensity mass with a septate-like internal structure on T2-weighted imaging and short tau inversion recovery. The tumor was completely resected by endoscopic submucosal dissection. Esophageal lymphangioma is a rare submucosal tumor that can be precisely diagnosed by CT and/or MRI.
本文报告一例75岁男性食管淋巴管瘤病例，该患者主诉吞咽困难加重。内镜超声显示黏膜下层有蜂窝状或网格状多个微囊肿的回声模式。计算机断层扫描的矢状位图像显示食管壁增厚，食管近端管腔内有液体潴留。磁共振成像显示在T2加权成像和短tau反转恢复序列上有一个内部结构呈分隔状的高信号肿块。通过内镜黏膜下剥离术将肿瘤完全切除。食管淋巴管瘤是一种罕见的黏膜下肿瘤，可通过CT和/或MRI进行精确诊断。
