Successful endoscopic submucosal dissection of an esophageal granular cell tumor in a pediatric patient: A case report and a therapeutic insight

JPGN reports Pub Date : 2024-07-04 DOI:10.1002/jpr3.12106
Sara Al Dogom, Jerapas Thongpiya, Marawan Elmassry, Mark Feist, Meenu Sharma, George Rateb
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Abstract

Esophageal granular cell tumors (GCTs) are rare mesenchymal neoplasms that originate from the Schwann cells of the neural sheath in the esophageal wall. Esophageal GCTs represent approximately 2% of all GCTs. Most cases of esophageal GCT occur in adults with few cases reported in pediatric patients. Although typically benign, these tumors can occasionally exhibit malignant behavior, necessitating timely and appropriate intervention. Traditionally, surgical resection was considered for treatment, nonetheless, considering the invasive nature of such interventions, endoscopic approaches have been developed for diagnosis and treatment. Endoscopic approaches have been shown to lead to serious complications at times, such as incomplete resection or perforation. Here, we present a successful application of endoscopic submucosal dissection in the treatment of an adolescent female patient with esophageal GCT which was discovered during her prior esophagogastroduodenoscopy for vomiting.
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一名小儿食管颗粒细胞瘤的内镜黏膜下剥离术获得成功:病例报告与治疗启示
食管颗粒细胞瘤(GCT)是一种罕见的间叶肿瘤,起源于食管壁神经鞘的许旺细胞。食管 GCT 约占所有 GCT 的 2%。大多数食管 GCT 病例发生在成人身上,很少有儿童病例的报道。虽然这些肿瘤通常是良性的,但偶尔也会表现出恶性行为,因此需要及时采取适当的干预措施。传统的治疗方法是手术切除,然而,考虑到此类干预措施的侵入性,内窥镜方法已被用于诊断和治疗。事实证明,内窥镜方法有时会导致严重的并发症,如切除不彻底或穿孔。在此,我们介绍了一项成功应用内镜黏膜下剥离术治疗食管 GCT 患者的病例,该患者是在之前因呕吐进行食管胃十二指肠镜检查时发现食管 GCT 的。
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