食管颗粒细胞瘤的临床影像学及病理特点  

Clinical imaging and pathological features of esophageal granular cell tumor

作　　者：马玉平 姜琼 王素平 

机构地区：[1]安徽省六安市人民医院全科医学科,安徽六安237005

出　　处：《中外女性健康研究》2017年第24期3-4,9,共3页Women＇s Health Research

摘　　要：目的:分析食管颗粒细胞瘤(esophageal granular cell tumor,EGCT)的临床影像病理特点及其鉴别诊断,提高认识,避免误诊。方法:分析本院1例2012年首诊至2017年术前诊断为食管平滑肌瘤,而术后病理诊断为EGCT的诊疗过程。结果:术前经胸部平扫及增强CT(computed tomography)、上消化道钡餐临床诊断为食管平滑肌瘤,外科手术完整切除肿瘤,术后病理及免疫组化诊断为食管颗粒细胞瘤,术后复查胸部CT提示肿瘤完整切除。结论:食管颗粒细胞瘤发病率低,良性多见,临床表现无特异性,就诊病人最常见症状为上消化道不适及胸痛,确诊需病理诊断,主要需与食管平滑肌瘤、间质瘤、恶性颗粒细胞瘤鉴别,首选治疗方法为手术切除,预后较好。ObjectiveTo study the pathological features and differential diagnosis of Esophageal Granular Cell Tumor （EGCT）. Methods ： The process of a case of EGCT was misdiagnosed as esophageal leiomyoma were analyzed. Results ： Based on ^he re-sults of the X-ray, Computed Tomography （CT） and enhanced CT of chest, upper gastrointestinal barium image of the patientbefore surgery, the patient was diagnosed as esophagell leiomyoma, but after a complete surgical resection, she was diagnosed as EGCT by pathologic and immunohistochemical results. Conclusion： The occurrence of EGCTs is low, most of them are be-nign. The most common symptoms of EGCT patients are upper gastrointestinal discomfort and EGCT requires pathological results, and its differential diagnosis mainly include esophageal leiomyoma, stromal tumor and ma-lignant granular cell tumor. The bett treatment of EGCT is surgicll resection, and its prognosis is good.

关 键 词：食管颗粒细胞瘤 CT 病理 诊断 

分 类 号：R735.1[医药卫生—肿瘤]