在上腺分泌体内的食道瘤
Sameeta Kumari1, Muhammad Ibrahim Saeed2, Faisal Waseem Ismail2
1Medical Graduate, Aga Khan University Hospital, Karachi, Pakistan.
Radiology case reports
|April 5, 2024
概括
这份病例报告详细介绍了一个罕见的上腺分泌体和食道瘤在同一患者的同时发生的情况. 该研究强调了这些不常见的共存食道疾病的诊断和管理挑战.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
背景情况:
- 上腺分泌体是远端食道外囊.
- 食道瘤是良性光滑肌肉瘤.
研究的目的:
- 报告一种罕见的上腺分泌体和食道瘤共存的罕见病例.
- 讨论这种罕见表现的诊断挑战和管理.
主要方法:
- 一个58岁的男性出现了消化不良和减肥的症状.
- 术前诊断使用CT扫描与IV对比.
- 通过活检和免疫组织化学证实诊断.
- 通过两阶段食道切除术进行手术管理.
主要成果:
- 脑电图扫描显示了与光线通信的远端食道质量,暗示了上腺分泌体.
- 活检证实了光滑肌肉瘤,与瘤一致.
- 手术后的病理学证实了手术前的诊断.
- 患者经历了一次平稳的康复.
结论:
- 上腺分泌体和食道瘤的同时发生是罕见的,但可能的.
- 多模式成像和组织病理学对于准确的诊断至关重要.
- 手术干预可以有效的症状病例.
相关概念视频
Esophageal Strictures-I: Introduction
90
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...
90
Esophageal Varices-I: Introduction
127
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...
127
Esophageal Strictures-II: Clinical Features and Management
69
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...
69
Esophageal Perforation-I: Introduction
91
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
91
Esophageal Perforation-II: Clinical Manifestations and Management
59
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:
59
Barrett Esophagus-II: Clinical Manifestations and Management
141
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...
141


