食道神経鞘腫の1例  [in Japanese] A CASE OF NEUROSCUWANNOMA OF THE ESOPHAGUS  [in Japanese]

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Abstract

極めて稀な食道神経鞘腫を経験したので報告する.症例は66歳女性.自覚症状はなく,他病の経過観察中に胸部単純X線写真で異常陰影を指摘された.精査の結果,後縦隔腫瘍の診断で手術を施行,食道壁筋層より発生した腫瘍であった.病理組織学的に食道平滑筋腫との鑑別が困難であり,免疫組織化学的検査を行い, S-100蛋白に陽性であったことから,食道神経鞘腫と診断した.食道に発生した神経鞘腫の本邦報告例は,自験例を含めて10例であり,若干の文献的考察を加え報告する.

An extremely rare case of neuroschwannoma of the esophagus in a 66-year-old woman is reported. The patient was asymptomatic and was pointed out an abnormal shadow on a chest simple X-ray film under observation for another disease. After close examinations the patient was operated on with a diagnosis of posterior mediastinal tumor. During the operation the tumor was found arising in the muscular layer of the esophageal wall. Histopathologically it presented difficulty in differential diagnosis from esophageal leiomyoma. On immunohistochemical examinations, the tumor was positive for S-100 protein. Consequently the difinite diagnosis of esophageal neuroschwannoma was made. So far only 10 cases of neuroschwannoma of the esophagus, including our case, have been reported in Japan. This rare case is reported here, together with a review of the literature.

Journal

  • The journal of the Japanese Practical Surgeon Society

    The journal of the Japanese Practical Surgeon Society 58(9), 2033-2037, 1997-09-25

    Japan Surgical Association

References:  13

Cited by:  7

Codes

  • NII Article ID (NAID)
    10008530221
  • NII NACSIS-CAT ID (NCID)
    AN00198696
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    03869776
  • Data Source
    CJP  CJPref  J-STAGE 
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