Volpato G, Forni E, Orlandoni G, Coperchini E, Lo Monaco P
Chir Ital. 1980 Oct;32(5):1111-9.
The AA. report a clinical case of rare oesophageal pathology: the leioomyosarcoma sole case on 200 oesophageal neoplasms that they have observed. The clinical likeness with oesophageal carcinoma and the complete superimposition of reports that have been obtained in this case with instrumental examinations respect to the oesophageal carcinoma, didn't permit to do the diagnosis of histotype, while this diagnosis could be done only after the preparation of an histopathologic preparation. The patient who was operated on for superior polar esophago-gastrectomy, after 18 months is in good general conditions. THe AA. draw their conclusions after a short discussion. We must show in these paragraphs the particular macroscopic form of neoplasm that they have observed and the great difficulty of a diagnosis of leimyosarcoma without an histopathologic preparation. Agreeing with the most part of other Authors, they point out that the best therapy for these forms is surgical therapy.
在他们观察到的200例食管肿瘤中，这是唯一一例平滑肌肉瘤。该病例与食管癌的临床相似性，以及在此病例中通过器械检查获得的报告与食管癌的完全重叠，使得无法进行组织学类型的诊断，而只有在制备组织病理学标本后才能做出该诊断。接受了食管胃上极切除术的患者，18个月后总体状况良好。作者们经过简短讨论后得出结论。在这些段落中，我们必须展示他们观察到的肿瘤的特殊宏观形态，以及在没有组织病理学标本的情况下诊断平滑肌肉瘤的巨大困难。与大多数其他作者一致，他们指出这些类型的最佳治疗方法是手术治疗。
