食管神经鞘瘤超声内镜下误诊为食管间质瘤1例  

Misdiagnosis of esophageal schwannoma under endoscopic ultrasound as esophageal stromal tumor:a case report

作　　者：熊佩玲 王帆[1] 方军[1] 赵秋[1] XIONG Peiling;WANG Fan;FANG Jun;ZHAO Qiu(Department of Gastroenterology,Zhongnan Hospital of Wuhan University,Wuhan 430071,China)

机构地区：[1]武汉大学中南医院消化内科,武汉430071

出　　处：《数理医药学杂志》2024年第3期228-231,共4页Journal of Mathematical Medicine

摘　　要：食管神经鞘瘤是一种罕见的肿瘤,是食管黏膜下肿瘤(esophageal submucosal tumors,SMTs)之一,由于受累部位和肿块大小不同,其临床表现和影像学特征不典型,术前活检结果常常无法帮助确诊,临床易致误诊。本文回顾性分析了1例63岁女性患者,因体检发现食管黏膜增厚,超声胃镜提示食管低回声病灶(间质瘤可能),遂行胸腔镜下纵隔病损切除术,病理证实为神经鞘瘤。Esophageal schwannoma is a rare tumor and one of the esophageal submucosal tumors(SMTs).Due to differences in the affected sites and tumor sizes,the clinical manifestations and imaging features were atypical,and preoperative biopsy results usually failed to assist in diagnosis,leading to misdiagnosis in clinical practice.A retrospective analysis was conducted on a 63-year-old female patient who underwent thoracoscopic mediastinal lesion resection due to the discovery of esophageal mucosal thickening during physical examination,and the ultrasound gastroscopy suggested a hypoechoic lesion(possibly a stromal tumor)in the esophagus,and pathologically confirmed to be a schwannoma.

关 键 词：食管神经鞘瘤 超声内镜 食管间质瘤 

分 类 号：R735.1[医药卫生—肿瘤]