内镜超声引导下细针吸取细胞学检查对1例原发性食管恶性黑色素瘤临床诊断价值探讨  

Clinical Value of Endoscopic Ultrasonography Guided Fine Needle Aspiration in the Diagnosis of One Case of Primary Malignant Melanoma of the Esophagus

作　　者：雷天霞[1] 王海星 付莉[1] 陈进忠[1] LEI Tianxia;WANG Haixing;FU Li;CHEN Jinzhong(The First Affiliated Hospital of Xiamen University,Xiamen 361003,China)

机构地区：[1]厦门大学附属第一医院

出　　处：《中外医学研究》2019年第34期174-176,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：原发性食管恶性黑色素瘤(primary malignant melanoma of the esophagus,PMME)是非常罕见且具有高度侵袭性的恶性肿瘤,极易发生局部组织侵犯和早期血行转移,通常与其他食管恶性肿瘤鉴别困难,而内镜下活检取材表浅,无法得到准确的病理学诊断。针对这样鉴别困难的病例实施内镜超声引导下细针吸取细胞学检查(endoscopic ultrasonography guided fine needle aspiration,EUS-FNA)可取得满意的病变组织用于病理学检查,对于疾病的准确诊断有较高的价值。该病例主要探讨通过EUS-FNA取得的组织行病理及免疫组织化学证实PMME的临床诊断价值,患者从而得到了及时、准确的治疗,改善了患者预后。EUS-FNA同时通过内镜超声检查技术(endoscopic ultrasonography,EUS)引导能避开血管,选择最佳的穿刺路径,具有微创、低并发症的特点,是安全、有效的方法。Primary malignant melanoma of the esophagus(PMME)is a very rare and highly invasive malignant tumor.It is prone to locally invasive and early blood metastasis.It is difficult to distinguish the primary malignant melanoma of the esophagus and other malignant tumors of esophageal tumors.On such identification difficult cases,endoscopic ultrasonography guided fine needle aspiration(EUS-FNA)could get enough tumor tissues for pathology diagnosis.We used this case to discuss the clinical diagnostic value of PMME confirmed by histopathology and immunohistochemistry of tissues obtained by EUS-FNA,so the patient can receive timely and accurate treatment,obtain satisfactory treatment effect and improve the quality of life.EUS-FNA can also avoid blood vessels and select the best puncture path through endoscopic ultrasonography(EUS)guidance,which is a safe and effective method with features of minimally invasive and low complications.

关 键 词：原发性食管恶性黑色素瘤 内镜超声引导下细针吸取细胞学检查 病理诊断 

分 类 号：R73[医药卫生—肿瘤]