食管放线菌病一例发生在上皮下肿瘤内镜黏膜切除术后。

Hang T T Nguyen, Jin Woong Cho, Sang Gyeun Kim, Tuyen Thanh Hoang, Gum Mo Jung, Bong Ju Cho, Myoung Jin Ju
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摘要

食道放线菌病是一种罕见的慢性肉芽肿性疾病,由放线菌引起。内窥镜检查和活组织检查对诊断至关重要。本文报告了一例食管放线菌病,该病是在上皮下肿瘤(SET)的内镜黏膜切除术(EMR)后发生的。一名74岁的男性患者食道平坦、平滑隆起3厘米,无任何症状。SET被部分切除,组织学显示“非特异性变性间充质组织”。三个月后,患者在EMR部位出现持续的大溃疡,活检显示为放线菌病。胸部和腹部的CT检查没有发现异常。给予氨苄青霉素治疗6个月,食管SET溃疡得到改善。
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Case of Esophageal Actinomycosis Occurred after Endoscopic Mucosal Resection for Subepithelial Tumor.

Esophageal actinomycosis is a rare, chronic granulomatous disease caused by Actinomyces species. Endoscopy and biopsy are essential for making a diagnosis. This paper reports a case of esophageal actinomycosis that developed after an endoscopic mucosal resection (EMR) for a subepithelial tumor (SET). A 74-year-old male patient had a 3 cm flat, smooth elevation in the esophagus without symptoms. The SET was partially resected, and histology revealed "nonspecific degenerated mesenchymal tissue". Three months later, the patient exhibited a persistently large ulceration at the EMR site, and a biopsy revealed actinomycosis. CT of the chest and abdomen revealed no abnormal findings. Ampicillin treatment was administered for six months, and the ulceration on the esophageal SET improved.

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