関連する実験動画
Updated: Sep 9, 2025

11:19
Robotic Myotomy and Partial Fundoplication for Achalasia
Published on: August 11, 2023
1.6K
右上四角の痛みと軽度の消化不全を呈する成人男性における巨大な食道筋腫の希少症例
Seeduwa Bandara1, Clifford Pang2, Katherine Pang2
1Medicine and Pediatrics, University of California Los Angeles David Geffen School of Medicine, Los Angeles, USA.
Cureus
|September 5, 2025
まとめ
常見の良性腫瘍である食道腫は様々な症状を引き起こす可能性があります. このケースでは 腹痛を伴う大型の胞腫が 手術で治癒しました
科学分野:
- 胃腸内科
- 手術腫瘍学
- 病理学について
背景:
- 食道胞腫は食道における最も頻繁な良性中胞腫瘍であり,全良性食道胞腫の約3分の2を占める.
- これらの腫瘍はしばしば消化不全,呼吸不全,食欲低下,体重減少,慢性咳,腸詰まりなどの非特異的な症状で表れ,潜在的に他の病理を模倣する.
- 右上四角の痛みのような非典型的な症状は,初期診断を複雑にし,広範な差異診断を必要とします.
研究 の 目的:
- 異例の症状を呈する大腸腫の症例を報告する.
- 画像と細針吸入 (FNA) を含む診断プロセスを説明します.
- 大量の食道小胞腫の 手術治療と無事回復について
主な方法:
- 患者の症例報告 右上部の痛みが中等から重症で 軽度の食欲不全がある
- 診断には画像検査 (食道腫瘍の偶然発見) と細針吸入による内視鏡検査 (FNA) が含まれていた.
- 腫瘍の切除のための 筋肉を節約する胸切除手術でした
主要な成果:
- 偶然のイメージングは 食道の中央と下部の3分の1を囲む大きな腫瘍を明らかにしました
- 内視鏡検査で 大量の粘膜下組織が確認されました
- 精細針の吸入 (FNA) により,レオミオームの確固たる診断がされ,レオミオサルコームは排除されます.
- 筋肉を節約した胸切除手術が成功しました
結論:
- 食道筋筋腫は 腹痛などの多様な,時には非典型的な症状を呈し,初期診断に困難を伴う.
- 精密な診断には,高度な画像検査,内視鏡検査,および組織採取 (FNA) を含む包括的な診断方法が不可欠です.
- 筋肉を節約する胸腔切除を含む大きな腫瘍に対する外科的管理は,成功した結果と無事回復による好ましい予後を示します.
関連する概念動画
Esophageal Strictures-II: Clinical Features and Management
155
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
155
Esophageal Strictures-I: Introduction
261
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
261
Barrett Esophagus-II: Clinical Manifestations and Management
290
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
290
Esophageal Perforation-II: Clinical Manifestations and Management
145
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
145
Gastroesophageal Reflux Disease II: Clinical Features and Management
150
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
150
Esophageal Varices-I: Introduction
324
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
324

