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[源于气管支气管残余物的食管异常。两例成人延迟诊断病例报告]

[Esophageal anomalies developed from tracheobronchial remnants. Reports of two cases with delayed diagnosis in adults].

作者信息

Cymes K, Vissuzaine C, Walker F, Toublanc M, Marmuse J P, Benhamou G, Potet F

机构信息

Service d'Anatomie et de Cytologie Pathologiques, Hôpital Bichat, Paris.

出版信息

Ann Pathol. 1993;13(5):324-7.

PMID:8311858
Abstract

Congenital esophageal stenosis and bronchogenic cyst are secondary to the same dysembryoplastic disorder in spite of different clinical signs. These lesions are revealed during infancy, unusually during adult age. Dysphagia is the most common symptom. Our two cases highlight these topics. Imaging methods displayed, in case 1, a distal stenosis, associated with a proximal dilatation, in case 2, a benign independent mass, without connection with the respiratory tract. A chirurgical excision was carried out in the two cases and the post operative course was uncomplicated. Histologically the two resection specimens showed a respiratory mucosa trapping cartilaginous pieces.

摘要

先天性食管狭窄和支气管囊肿尽管临床表现不同,但继发于同一种胚胎发育异常疾病。这些病变在婴儿期被发现,在成人期则较为罕见。吞咽困难是最常见的症状。我们的两个病例突出了这些问题。影像学检查显示,病例1为远端狭窄并伴有近端扩张,病例2为良性独立肿块,与呼吸道无关联。两例均进行了手术切除,术后过程顺利。组织学检查显示,两个切除标本均有含有软骨片的呼吸道黏膜。

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