由下瘤类似的食道癌引起的消化不良:两例病例报告
1Department of Gastroenterology, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, Zhejiang, P.R. China.
International journal of surgical pathology
|November 13, 2024
概括
食道状细胞癌很少模仿粘膜下瘤. 内腔侵袭需要内镜超声波引导细针吸收,以准确诊断和治疗这种罕见的食道癌症.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 食道状细胞癌 (ESCC) 是一种流行的恶性瘤.
- ESCC很少表现为下质瘤样病变,这给诊断带来了挑战.
- 没有粘膜干扰的内腔入侵是ESCC极其罕见的模式.
研究的目的:
- 呈现ESCC模仿亚粘膜瘤的罕见病例.
- 突出诊断挑战和内镜超声波引导细针吸收 (EUS-FNA) 的作用.
- 强调在治疗这些病变方面,组织病理学检查的重要性.
主要方法:
- 两名患有初级ESCC的患者的病例报告呈现为室内病变.
- 最初的活检解释为良性增生症.
- 通过内镜超声波引导细针吸收 (EUS-FNA) 证实了诊断.
主要成果:
- 完整的ESCC内部侵袭模仿了下质瘤样病变.
- EUS-FNA对于准确的诊断至关重要.
- 两位患者都接受了适当的治疗,并取得了良好的结果.
结论:
- 内腔ESCC是一种罕见的实体,可以模仿粘膜下瘤.
- 准确的诊断依赖于详细的组织病理学检查和EUS-FNA.
- 及时诊断和管理导致这些罕见病例的良好结果.
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