摘要
目的:提高对食管黏膜下腺导管腺瘤的病理学特征的认识。方法:收集2018年3月-2022年10月日照市人民医院5例食管黏膜下腺导管腺瘤患者资料,结合文献分析该疾病临床表现、内镜表现南京大学医学院附属鼓楼医院、病理学特点、鉴别诊断及预后。结果:5例患者,其中4例为男性,年龄分别为64岁、72岁、73岁、45岁;1名为女性患者,年龄61岁。例1患者为无明显诱因出现进食梗阻感,伴恶心,反酸。例2患者病变发生于食管胃交界处。例3、例4、例5患者均无明显临床不适应症状,健康查体行胃镜发现食管粘膜下病变。镜下形态学表现:病变均位于黏膜下层,囊腔被覆双层结构,细胞形态温和。结论:食管黏膜下腺导管腺瘤发生少见,为避免误诊、漏诊,内镜、病理医师应对其有所认识。
Objective:To improve the understanding of the pathological features of esophageal submucosal adenocarcinoma.Methods:The clinical data of 5 patients with esophageal submucosal adenocarcinoma in People’s Hospital of Rizhao from March 2018 to October 2022 were collected.The clinical manifestations,endoscopic fi ndings,pathological features,differential diagnosis and prognosis of the disease were analyzed combined with the literature.Results:Of the 5 patients,4 were male,aged 64,72,73 and 45.One was a female patient aged 61.Patient 1 presented with eating obstruction without obvious inducement,accompanied by nausea and acid refl ux.In patient 2,the lesion occurred at the esophagogastric junction.Patients 3,4 and 5 had no obvious clinical maladaptive symptoms,and the submucosal lesions of the esophagus were found by gastroscopy.Microscopic morphological fi ndings:the lesions were all located in the submucosa,the cystic cavity was covered with double layer structure,and the cell morphology was mild.Conclusion:Esophageal submucosal adenoma is rare,of which endoscopists and pathologists should be aware in order to avoid misdiagnosis and missed diagnosis.
作者
王晓
王玲
赵一诺
张文杰
付尧
付金栋
WANG Xiao;WANG Ling;ZHAO Yi-nuo;ZHANG Wen-jie;FU Yao;FU Jin-dong(People’s Hospital of Rizhao;The Affi liated Hospital of Nanjing University Medical School)
出处
《中国标准化》
2023年第2期233-237,共5页
China Standardization
关键词
食管黏膜下腺导管腺瘤
潴留囊肿
标准化诊治
esophageal submucosal gland duct adenoma
retension cyst
standardized diagnosis and treatment