未经证实:淋巴瘤,在大多数情况下是良性肿瘤,发生在头部,脖子,腋下,和纵隔。淋巴管瘤在包括食道在内的上消化道极为罕见,胃,和十二指肠。然而,临床特征,自然史,内镜下切除术后的复发率仍不清楚。本研究旨在评估特征性发现并评估内镜技术在该疾病治疗中的疗效。
未经评估:在此系统的回顾性分析中,我们评估了2012年1月至2021年5月在我院通过内镜黏膜切除术(EMR)或内镜黏膜下剥离术(ESD)切除并经组织病理学诊断的所有24例上消化道淋巴管瘤.我们分析了内窥镜检查的结果,超声内镜(EUS),CT,组织学检查,和后续评估。
UNASSIGNED:本研究纳入了9例男性和15例女性食管淋巴管瘤患者,平均年龄54.17±11.60岁(范围30-71岁)。病变的大小从2.20到40.10毫米不等,中位数大小为7.83毫米。所有患者术前评估,其内窥镜外观通常表现为突出的粘膜或粘膜下病变的表面上皮下方扩张的淋巴通道。内窥镜超声检查显示存在蜂窝状或网格状肿块,具有异质回波模式,病灶与固有肌层之间的清晰边界可能有助于该病的初步诊断。22例患者接受了EMR,2例患者接受了ESD治疗。组织学检查显示,病变包含许多扩张的淋巴管,这证实了所有患者的淋巴管瘤的初步诊断。在手术或中位随访43个月(范围13-92)期间未发现重大不良事件。
UNASSIGNED:超声内镜对上消化道淋巴管瘤的初步诊断具有重要的临床价值。这项研究还表明,内窥镜切除术应该被认为是一种更微创的手术,安全,可行,与腹腔镜手术相比,有效的治疗选择。
UNASSIGNED: Lymphagioma, which in most cases as benign tumors, occurs in head, neck, axilla, and mediastinum. Lymphangioma is exceedingly rare in the upper gastrointestinal tract including esophagus, stomach, and duodenum. However, the clinical characteristics, natural history, and recurrence rate after endoscopic resection remain unclear. This study aims to evaluate the characteristic findings and assess the efficacy of endoscopic techniques in the management of this disease.
UNASSIGNED: In this systematic retrospective analysis, we evaluated all 24 cases of upper gastrointestinal lymphangioma resected by endoscopic mucosal resection (EMR) or endoscopic submucosal dissection (ESD) and diagnosed by histopathology at our hospital from January 2012 to May 2021. We analyzed the results of endoscopy, endoscopic ultrasonography (EUS), CT, histologic examination, and follow-up assessments.
UNASSIGNED: 9 male and 15 female patients with esophageal lymphangioma were enrolled in this study, with a mean age of 54.17 ± 11.60 years (range 30-71 years). The lesions\' size varied from 2.20 to 40.10 mm, with the median size of 7.83 mm. All patients were evaluated preoperatively, whose endoscopic appearance typically appears as dilated lymphatic channels beneath the surface epithelium of the protrude mucosal or sub-mucosal lesion. Endoscopic ultrasonography revealed the presence of a honeycomb-like or grid-like mass with a heterogeneous echo pattern, and a clear boundary between the lesion and the muscularis propria layer may be helpful for the primary diagnosis of this disease. 22 patients underwent EMR and 2 patient were treated with ESD. Histologic examination revealed that the lesions contained many dilated lymphatic vessels, which confirmed the initial diagnosis of lymphangioma in all patients. No major adverse events were found during the operation or a median follow-up of 43 months (range 13-92).
UNASSIGNED: Endoscopic ultrasonography has important clinical value for the primary diagnosis of lymphangioma in the upper gastrointestinal tract. This study also suggests that endoscopic resection should be considered as a more minimally invasive, safe, feasible, and effective therapeutic option comparing to laparoscopic surgery.