Diagnosis and treatment of the esophageal non-epithelial tumors

doi:10.3877/cma.j.issn.2095-8773.2017.04.05

Abstract

Abstract:

Objective

To explore the principles of diagnosis and treatment of esophageal non-epithelial tumors (ENET).

Methods

A retrospective study was conducted on 70 consecutive ENET patients from October 2010 to December 2014 in Shanghai Chest Hospital.

Results

ENET accounted for 3.9% (70/1783) in esophageal tumors during the same period. Among the patients who were treated by surgery, 66 cases underwent resection of esophageal carcinoma; 4 cases underwent resection of esophagus and gastric anastomosis; 2 cases died in perioperative period. Followed up to July 2017, no cases were lost, and all cases were survival except 3 patients who died of tumor recurrence and metastasis.

Conclusions

(1) It was difficult to make diagnosis for ENET by clinical manifestations because these were not specific. It is helpful to estimate the tumor origin by radiographic, esophageal endoscopy and endoscopic ultrasonography, but definite diagnosis must rely on the postoperative pathology and immunohistochemistry. (2) Surgery was the main method for treatment and surgery style should be carefully taken according to the clinical characteristics and biological behavior of the tumor.

Key words: Esophageal non-epithelial tumors, Resection of esophageal carcinoma, Esophagus and gastric anastomosis, Immunohistochemistry

Xufeng Guo, Lei Zhu, Yifeng Sun, Yu Yang, Bo Ye, Rong Hua, Xiaobing Zhang, Teng Mao, Zhigang Li. Diagnosis and treatment of the esophageal non-epithelial tumors[J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2017, 04(04): 218-223.

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URL: https://zhxbwkdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-8773.2017.04.05

https://zhxbwkdzzz.cma-cmc.com.cn/EN/Y2017/V04/I04/218

Figures/Tables 4

References 13

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组别	例数	CD 117		CD34		Vimentin		SMA		S－100
组别	例数	＋	—	＋	—	＋	—	＋	—	＋	—
平滑肌瘤	55	7	48	6	49	0	55	55	0	0	55
间质瘤	5	5	0	4	1	1	4	1	4	0	5
神经鞘瘤	3	0	3	0	3	0	3	0	3	3	0
纤维脂肪瘤	2	0	2	0	2	0	2	0	2	0	2
脂肪肉瘤	2	0	2	0	2	0	2	1	1	1	1
颗粒细胞瘤	1	0	1	0	1	0	1	0	1	0	1
恶性黑色素瘤	1	1	0	0	1	0	1	0	1	1	0
B细胞淋巴瘤	1	0	1	0	1	0	1	0	1	0	1

组别	例数	CD 117		CD34		Vimentin		SMA		S－100
组别	例数	＋	—	＋	—	＋	—	＋	—	＋	—
平滑肌瘤	55	7	48	6	49	0	55	55	0	0	55
间质瘤	5	5	0	4	1	1	4	1	4	0	5
神经鞘瘤	3	0	3	0	3	0	3	0	3	3	0
纤维脂肪瘤	2	0	2	0	2	0	2	0	2	0	2
脂肪肉瘤	2	0	2	0	2	0	2	1	1	1	1
颗粒细胞瘤	1	0	1	0	1	0	1	0	1	0	1
恶性黑色素瘤	1	1	0	0	1	0	1	0	1	1	0
B细胞淋巴瘤	1	0	1	0	1	0	1	0	1	0	1

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