Pérez-Carreras M, Canga F, Blasco A, Colina F, Garfia C, Rodríguez S, Castellano G, Solís Herruzo J A
Servicio de Medicina de Aparato Digestivo, Hospital Universitario 12 de Octubre, Madrid.
Rev Esp Enferm Dig. 1994 Mar;85(3):199-202.
We report a new case of granular cell tumor (GCT) is a benign neoplasm in the esophagus (a rare location of which there are only described 80 cases. The tumor was diagnosed in a man aged 55 by endoscopy (asymptomatic from the esophagus point of view) during a chronic liver disease survey. The biopsies of the 3 cm polyp suggested a GCT. The patient died and the necropsy confirmed the presence of a submucous tumor with polygonal cells, wide cytoplasm, eosinophil, granular and ovoid nucleus. The cytoplasm granules were positive PAS and a resistant diastase, without signs of malignancy. In our case, the endoscopy resection was not possible because the state of the patient, although it is the most reasonable therapeutic choice in the most cases.
我们报告了一例新的颗粒细胞瘤(GCT),它是食管中的一种良性肿瘤(这是一个罕见部位,仅报道过80例)。该肿瘤是在一名55岁男性进行慢性肝病检查时通过内镜检查诊断出来的(从食管角度无症状)。对3厘米息肉的活检提示为颗粒细胞瘤。患者死亡,尸检证实存在一个黏膜下肿瘤,其细胞呈多边形,细胞质宽阔,嗜酸性,有颗粒且细胞核呈卵圆形。细胞质颗粒对PAS呈阳性反应且对淀粉酶有抗性,无恶性迹象。在我们的病例中,由于患者的状况,无法进行内镜切除,尽管在大多数情况下这是最合理的治疗选择。