食管皮脂腺异位1例——内镜诊断特点

V. Lozovaya, O. Gusarova, O. Malikhova, A. Tumanyan
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引用次数: 0

摘要

在大多数先前讨论的病例中,皮脂腺异位(SGE)被描述为来自外胚层的组织。只有少数出版物报道了食管(内胚层器官)的SGE病例。本文报告一例68岁男性患者,无胃肠道主诉,但在食管胃十二指肠镜检查时发现食管远端有多发白色覆盖。经形态学检查,确定食管SGE的诊断。目前,世界文献中没有关于食管SGE可能发生恶性转化的资料。在无症状的病程中,这组患者不需要特异性药物治疗和/或内镜下粘膜切除术。如果有反流性食管炎的症状,可以开抗反流治疗。主要的,最有可能的,唯一可能的诊断这种形式的肿瘤的方法是内窥镜,并伴有强制取样活检材料进行形态学检查。进行标准的EGDS必须包括食管粘膜的窄带成像或彩色内镜检查。关键词:皮脂腺异位,内镜,食管,窄带成像,食管胃十二指肠镜,色素内镜。引用本文:Lozovaya v.v., Gusarova o.a., Malikhova o.a., Tumanyan A.O.食道皮脂腺异位的临床病例-内镜诊断的特点。俄罗斯医学调查。2023;7(5):318-322(俄文)。DOI: 10.32364 / 2587-6821-2023-7-5-10。
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Clinical case of sebaceous gland ectopia in the esophagus — characteristics of endoscopic diagnosis
In most of the previously discussed cases, sebaceous gland ectopia (SGE) was described in tissues derived from the ectoderm. Only a small number of publications reported cases of SGE in the esophagus (endoderm organ). The article presents a clinical case of a 68-year-old male patient without complaints from the gastrointestinal tract, however, there were multiple white overlays in the distal esophagus revealed during esophagogastroduodenoscopy. After the morphological examination, the diagnosis of SGE of the esophagus was established. Currently, there is no data in the world literature on the possible malignant transformation of SGE in the esophagus. In an asymptomatic disease course, this group of patients does not need specific drug therapy and/or endoscopic mucosal resection. If there are symptoms of reflux esophagitis, anti-reflux therapy may be prescribed. The main and, most likely, the only possible method of diagnosing this form of neoplasia is endoscopic, accompanied by the mandatory sampling of biopsy material for morphological examination. Conducting a standard EGDS must necessarily include examination using narrow-band imaging or chromoendoscopy of the esophageal mucosa. KEYWORDS: sebaceous gland ectopia, endoscopy, esophagus, narrow-band imaging, esophagogastroduodenoscopy, chromoendoscopy. FOR CITATION: Lozovaya V.V., Gusarova O.A., Malikhova O.A., Tumanyan A.O. Clinical case of sebaceous gland ectopia in the esophagus — characteristics of endoscopic diagnosis. Russian Medical Inquiry. 2023;7(5):318–322 (in Russ.). DOI: 10.32364/2587-6821-2023-7-5-10.
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