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頁籤選單縮合
題名 | Squamous Papilloma of the Esophagus=食道鱗狀上皮乳突瘤 |
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作者 | 劉雲忠; 黃志焜; 陳儉鏗; 施俊哲; | 書刊名 | 中華醫學雜誌 |
卷期 | 57:6 1996.06[民85.06] |
頁次 | 頁413-417 |
分類號 | 415.512 |
關鍵詞 | 食道; 鱗狀上皮乳突瘤; Esophagus; Squamous papilloma; |
語文 | 英文(English) |
中文摘要 | 背景 食道鱗狀上皮乳突瘤(squamous papilloma of the esophagus)是一種 罕見的腫瘤,它的發生率約在0.01%-0.04%。我們回溯性的研究來探討這些病人 的發生率,症狀及其預後。 方法 本院自1981年10月至1994年10月,在124,000人次之胃鏡檢查中, 共有9例(0.00725%)病例被發現且病理切片證實。 結果 在這9例中,4例為男,5例為女,年齡皆大於49歲(49至78歲);其中 食道下段者最多,有7例(77.8%),中段有例(11.1%),上段亦有1例(11.1%);這 些病灶皆呈息肉狀,而8例為無柄的(88.9%),只有1例有柄(11.1%);有7例(77.8%) 為單一病灶,只有2例(22.2%)為多發性病灶(其中一例有二個病灶,另一例有三 個病灶),而這些病灶皆為5 mm以下。我們追蹤這些病例平均2.02 +/- 3.64年, 其中有三例接受胃鏡追蹤,其餘的在接受藥物治療後症狀改善,而不願接受胃 鏡檢查,只得以臨床症狀追蹤,迄今這些患者的症狀皆改善良好,其中最久者 已11年了。 結論 我們認為食道鱗狀乳突瘤應是一個良性的病程,它們的症狀多半與胃食 道逆流或消化性疾病有關而與食道鱗狀乳突瘤本身無關。 |
英文摘要 | Background. Squamous papilloma of the esophagus (SPE) is a rare lesion, with a prevalence of 0.01% to 0.04%. This study was to assess the incidence, symptoms, signs and prognosis of squamous papilloma of the esophagus. Methods. From October 1981 to October 1994, 124,000 patients at our hospital were examined with panendoscopy; 9 (0.0073%) subjects were histologically proved to have squamous papilloma of the esophagus. Results. They included 4 males and 5 females, aged 60.8 +/- 9.7 years, ranging from 49 to 78 years old. These tumor locations were seven in the lower, one in the middle one in the upper portion of the esophagus; sizes were not larger than 5 mm. Most of them were single (seven of nine) and sessile (eight of nine). Three of them were followed up with panendoscopy and six of them were followed up through clinical symptoms. The longest follow-up period were 11 years. The mean following time was 2.2 +/- 3.6 years. Conclusions. All of the patients are alive, and none has malignancy in the SPE. It is suggested that squamous papilloma of the esophagus may have a benign clinical course. Symptoms and signs are thought to be associated with gastroesophageal reflux or peptic ulcer diseases, and not to be related to the squamous cell papilloma itself. |
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