食管颗粒细胞瘤ESD切除1例并国内文献回顾  

Endoscopic submucosal dissection excision for esophageal granular cell tumor:A case report and literature review

作　　者：王龙[1] 曹杰[1] 代海萍[1] 辛毅[1] 

机构地区：[1]安徽医科大学附属宿州医院(宿州市立医院)消化内科,安徽省宿州市234000

出　　处：《世界华人消化杂志》2015年第28期4602-4605,共4页World Chinese Journal of Digestology

摘　　要：食管颗粒细胞瘤发病罕见,本文通过对1例典型病例诊疗情况描述以及对国内相关文献检索和回顾,进一步对此病的临床症状、镜下表现、诊断方法、发病机制、治疗、预后情况进行整理、总结和探讨.超声内镜的应用有助于提高此疾病的诊断率,病理是确诊该疾病的金标准.一般认为直径<2 cm且未侵及肌层者可以采用内镜黏膜切除术(endoscopic mucosal resection),考虑到少数复发和潜在恶性可能,透明帽辅助内镜黏膜下剥离术(endoscopic submucosal dissection)具有更高的安全性.Esophageal granular cell tumor is a rare disease.Here we report a typical case of esophageal granular cell tumor and review the relevant literature with regards to clinical symptoms,endoscopic manifestations,diagnostic method,nosogenesis,treatment and prognosis.The application of endoscopic ultrasonography is helpful to improve the diagnosis of the disease,and pathology is the gold standard for the diagnosis of the disease.Generally,when tumor diameter is less than 2 cm and there is no muscular layer invasion,endoscopic mucosal resection（EMR） can be used.Considering a low potential of recurrence and malignancy,transparent cap assisted endoscopic submucosal dissection（ESD） has a higher safety.

关 键 词：食管颗粒细胞瘤 内镜黏膜下剥离术 文献回顾 

分 类 号：R735.1[医药卫生—肿瘤]