Koch M, Hanke S, Dittert J, Stoelben E
Klinik und Poliklinik für Viszeral-, Thorax- und Gefässchirurgie, Universitätsklinikum Carl Gustav Carus der Technischen Universität Dresden.
Chirurg. 1998 Sep;69(9):981-4. doi: 10.1007/s001040050526.
A granular cell tumor is one of the rare tumors of the esophagus. We present the case of a 65-year-old male patient, who was admitted to our hospital for an elective cholecystectomy. In the routine diagnostic gastroscopy an intramural tumor in the distal esophagus was incidentally found. Repeated endoscopic biopsies did not reveal the histologic diagnosis, although endoscopic ultrasound invasion to the tunica muscularis could not be excluded. After indicating the operative therapy, the tumor was removed through a thoracoscopic approach. The histologic specimen showed a granular cell tumor of the esophagus (tumor of Abrikossoff). Since the tumor grade was unknown, our therapy seemed to be justified because of the low risk involved in minimally invasive operative procedures. There has been much discussion and controversy in the literature on this subject, including the potential for malignancy and the correct therapy regime, with a general shift to conservative or minimally invasive treatment. The case is discussed with a review of the literature.
颗粒细胞瘤是食管罕见肿瘤之一。我们报告一例65岁男性患者，因择期胆囊切除术入院。在常规诊断性胃镜检查中，偶然发现食管远端壁内肿瘤。尽管不能排除内镜超声显示肿瘤侵犯肌层，但多次内镜活检未明确组织学诊断。在确定手术治疗方案后，通过胸腔镜手术切除肿瘤。组织学标本显示为食管颗粒细胞瘤（阿布里科索夫瘤）。由于肿瘤分级未知，鉴于微创外科手术风险较低，我们的治疗方案似乎合理。关于这个主题，文献中有很多讨论和争议，包括恶性潜能和正确的治疗方案，总体趋势是转向保守或微创治疗。现结合文献复习对该病例进行讨论。
