论文部分内容阅读
目的了解食管原发性脂肪肉瘤的临床及病理特点。方法报道1例食管原发性脂肪肉瘤并复习文献中13例。结果食管脂肪肉瘤无特征性临床症状,主要表现为进食梗阻及进行性吞咽困难,肿瘤位于食管上段,呈腔内息肉状生长,组织学主要为分化好脂肪肉瘤。本例为分化好的脂肪肉瘤。结论食管原发性脂肪肉瘤罕见,临床及影像学检查虽有提示诊断的作用,但往往误诊为平滑肌肉瘤,确诊需病理检查,治疗以手术为主。
Objective To understand the clinical and pathological features of primary liposarcoma in esophagus. Methods One case of primary liposarcoma of the esophagus was reported and 13 cases were reviewed in the literature. Results Esophageal liposarcoma had no characteristic clinical symptoms, mainly manifested as eating obstruction and progressive dysphagia. The tumor was located in the upper esophagus and showed polypoid growth in the cavity. The histology mainly consisted of well-differentiated liposarcoma. This case is well-differentiated liposarcoma. Conclusions Although the primary liposarcoma of the esophagus is rare, the clinical and imaging findings may be diagnosed, but it is often misdiagnosed as leiomyosarcoma. The pathological examination is required for the diagnosis and the operation is mainly based on the operation.