Kessler B, Stegemann B, Langhans P, Pircher W
Leber Magen Darm. 1980 Feb;10(1):28-31.
Benign esophageal tumors are rare. Intraluminal and intramural tumors may be distinguished according to localization,--intramural leiomyomas occur most often. Retrosternal pain and dysphagia are the most frequent symptoms, rather often there are however no symptoms at all. X-ray examination and esophagoscopy should be applied for making a diagnosis, intramural tumors however may escape endoscopic diagnosis. Biopsies are indicated only, if mucosal alterations can be observed macroscopically. For final diagnosis the tumor has to be removed completely by surgery. In most cases this can be achieved by transthoracal enucleation, in special cases it may be necessary to remove part of the esophagus. Nine cases are reported.
良性食管肿瘤较为罕见。腔内肿瘤和壁内肿瘤可根据其定位加以区分,壁内平滑肌瘤最为常见。胸骨后疼痛和吞咽困难是最常见的症状,但也常常根本没有症状。诊断应采用X线检查和食管镜检查,不过壁内肿瘤可能无法通过内镜诊断出来。仅在肉眼可见黏膜改变时才进行活检。为明确诊断,必须通过手术将肿瘤完全切除。在大多数情况下,可通过经胸摘除术实现,特殊情况下可能需要切除部分食管。本文报告了9例病例。