Cox M A, Cooper B T, Sagar G
Gastroenterology Unit, City Hospital, Birmingham.
Gut. 1995 Aug;37(2):288-91. doi: 10.1136/gut.37.2.288.
Leiomyoma of the oesophagus, although the commonest benign oesophageal tumour, is still rare compared with malignant tumours of the oesophagus. Leiomyomas of the oesophagus are usually diagnosed on barium swallow or histological examination after section. Five cases of leiomyoma of the oesophagus are reported where diagnosis was made by the combination of barium swallow, upper gastrointestinal endoscopy, and computed tomography and all but one patient were followed up for one to four years. The endoscopic biopsy specimens were non-specific in all five patients but none showed any evidence of malignancy. None of the five patients had a history of dysphagia. This paper describes a conservative approach to medical treatment in asymptomatic oesophageal leiomyoma rather than surgical excision as commonly published. It also emphasises the importance of negative endoscopic pinch biopsy specimens and the role of computed tomography in the diagnosis of oesophageal leiomyoma.
食管平滑肌瘤虽是最常见的食管良性肿瘤，但与食管恶性肿瘤相比仍较为罕见。食管平滑肌瘤通常通过钡餐检查或切片后的组织学检查来诊断。本文报告了5例食管平滑肌瘤病例，其诊断是通过钡餐、上消化道内镜检查和计算机断层扫描相结合做出的，除1例患者外，其余患者均接受了1至4年的随访。所有5例患者的内镜活检标本均无特异性，但均未显示任何恶性迹象。5例患者均无吞咽困难病史。本文描述了一种针对无症状食管平滑肌瘤的保守治疗方法，而非像通常报道的那样进行手术切除。它还强调了内镜钳取活检标本为阴性的重要性以及计算机断层扫描在食管平滑肌瘤诊断中的作用。
