Esophagoscopy-Guided Surgical Enucleation of a Small Esophageal Lipoma-A Case Report

以食道鏡引導手術切除微小食道脂肪瘤－病例報告

張金池(Chin-Chih Chang) ； 張逸良(Yih-Leong Chang) ； 黃培銘(Pei-Ming Huang) ； 李元麒(Yung-Chie Lee)

《胸腔醫學》 22卷4期 (2007/08) Pp. 255-258

https://doi.org/10.29806/TM.200708.0005

摘要

食道脂肪瘤是罕見的良性腫瘤。食道脂肪瘤的病患通常沒有症狀直到腫瘤變得夠大時才引起症狀。此報告為一罕見微小食道脂肪瘤的病例，大小只有1公分，卻引起輕微的症狀，並且成功地在食道鏡引導下以右側迷你開胸手術切除腫瘤。一位70歲女性主訴胸部異物感已四個月，並有體重減少。鋇劑食道攝影及內視鏡超音波皆顯示在中段食道有一個黏膜下腫瘤。切片無法夾到腫瘤部分。我們進行右側迷你開胸術，並在手術中以食道鏡引導下施行了腫瘤切除手術。病理檢查確定其為一個食道黏膜下脂肪瘤。手術後過程恢復順利。

關鍵字

食道脂肪瘤 ； 內視鏡

並列摘要

Lipomas of the esophagus are rare benign tumors. Patients with esophageal lipomas are usually asymptomatic until tumors become large enough to cause symptoms. We report a rare case of a small esophageal tumor, only 1.0 cm in diameter, which caused indolent symptoms; surgical enucleation was successfully performed with a right lateral mini-thoracotomy with simultaneous esophagoscopic guidance. A 70-year-old woman complained of a foreign body sensation in her chest for 4 months. Body weight loss was also noted. Both barium esophagography and endoscopic ultrasonography revealed a submucosal tumor in the middle esophagus. Biopsy failed to demonstrate the submucosal tissue. Intraoperative esophagoscopic-guided tumor enucleation via a right lateral mini-thoracotomy was performed. A lipoma, 1.0 cm at the largest diameter, in the submucosa of the middle esophagus, was confirmed by pathology. The postoperative course was uneventful.

並列關鍵字

esophageal lipoma ； endoscopy