PDF(Pubmed)
Abstract：
BACKGROUND: Esophageal adenoid cystic carcinoma (EACC) is an exceedingly rare malignant tumor of the esophagus, posing significant challenges in the clinic.
METHODS: This report detailed the case of a 72-year-old male whose diagnosis of EACC was confirmed through postoperative histopathological examination. The patient underwent thoracoscopy-assisted radical resection of the esophageal tumor, coupled with lymph node dissection. Pathological findings revealed an adenoid cystic carcinoma infiltrating the entire layer of the muscularis propria, locally extending into the outer membrane of the esophageal fiber, involving the cardia and exhibiting no lymph node metastasis. The patient\'s condition was classified as primary EACC, T3N0M0, per the American Joint Committee on Cancer (2017; 8th edition). One month after surgery, the patient received postoperative adjuvant radiation therapy.
CONCLUSIONS: In addressing the rarity and high potential for biopsy misdiagnosis of EACC, this study delved into its diagnostic methods and treatment.
METHODS: This report detailed the case of a 72-year-old male whose diagnosis of EACC was confirmed through postoperative histopathological examination. The patient underwent thoracoscopy-assisted radical resection of the esophageal tumor, coupled with lymph node dissection. Pathological findings revealed an adenoid cystic carcinoma infiltrating the entire layer of the muscularis propria, locally extending into the outer membrane of the esophageal fiber, involving the cardia and exhibiting no lymph node metastasis. The patient\'s condition was classified as primary EACC, T3N0M0, per the American Joint Committee on Cancer (2017; 8th edition). One month after surgery, the patient received postoperative adjuvant radiation therapy.
CONCLUSIONS: In addressing the rarity and high potential for biopsy misdiagnosis of EACC, this study delved into its diagnostic methods and treatment.
摘要：
背景：食管腺样囊性癌（EACC）是一种极为罕见的食管恶性肿瘤，在临床上构成重大挑战。
方法：本报告详细介绍了一例72岁男性，其诊断为EACC，通过术后组织病理学检查得到证实。该患者接受了胸腔镜辅助下的食管肿瘤根治术，加上淋巴结清扫术。病理学发现腺样囊性癌浸润了整个固有肌层，局部延伸到食管纤维的外膜，累及贲门，无淋巴结转移。患者的病情被归类为原发性EACC，T3N0M0，根据美国癌症联合委员会（2017年；第8版）。手术后一个月,患者接受了术后辅助放疗.
结论：在解决EACC的罕见性和高可能性活检误诊时，本研究探讨了其诊断方法和治疗方法。
方法：本报告详细介绍了一例72岁男性，其诊断为EACC，通过术后组织病理学检查得到证实。该患者接受了胸腔镜辅助下的食管肿瘤根治术，加上淋巴结清扫术。病理学发现腺样囊性癌浸润了整个固有肌层，局部延伸到食管纤维的外膜，累及贲门，无淋巴结转移。患者的病情被归类为原发性EACC，T3N0M0，根据美国癌症联合委员会（2017年；第8版）。手术后一个月,患者接受了术后辅助放疗.
结论：在解决EACC的罕见性和高可能性活检误诊时，本研究探讨了其诊断方法和治疗方法。
