Gandolfi L, Colecchia A, Leo P, Caletti G, Rossi A, Primerano A, Torresan F
Section of Gastroenterology, Sant'Orsola-Malpighi Polyclinic Hospital, Bologna, Italy.
Endoscopy. 1995 Jan;27(1):132-4. doi: 10.1055/s-2007-1005648.
A case of systemic amyloidosis of the digestive tract is described here, with particular attention to the endoscopic ultrasonography aspects, characterized by a wide-spread thickening of the stomach and rectum walls, with loss of the normal layer structure of the mucosa and submucosa. Endoscopic ultrasonography, especially in pseudotumoral forms, may contribute to the differential diagnosis from neoplastic lesions, in which the wall thickening appears to be localized and accompanied by parietal infiltration.
本文描述了一例消化道系统性淀粉样变性病例,特别关注内镜超声检查方面,其特征为胃和直肠壁广泛增厚,黏膜和黏膜下层正常层结构消失。内镜超声检查,尤其是在假瘤样形态中,可能有助于与肿瘤性病变进行鉴别诊断,肿瘤性病变的壁增厚似乎是局限性的且伴有壁层浸润。