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目的 :探讨提高咽 -食管粘膜下良性间叶瘤的诊治水平的方法。方法 :报告 2例咽 -食管粘膜下良性间叶瘤的临床资料。结果 :2例瘤体均来源于粘膜下或肌层 ,蒂部位于喉咽侧壁及食管入口处。病理检查除纤维成分外 ,富含脂肪组织、血管、粘液等分化成熟的间叶组织。均经咽侧进路切除肿瘤 ,预后良好。结论 :该瘤临床少见 ,易误诊 ,应结合临床及有关检查进行综合判断 ;咽侧进路手术可彻底切除肿瘤 ,预后良好。
Objective : To explore the methods for improving the diagnosis and treatment of pharyngoesophageal submural benign mesothelioma. Methods: The clinical data of 2 cases of pharyngeal-esophageal submural benign mesothelioma were reported. Results: The tumors in 2 cases were all derived from the submucosa or muscularis. The pedicles were located at the lateral wall of the hypopharynx and esophageal entrance. In addition to the fiber components, pathological examinations were rich in differentiated and mature mesenchymal tissues such as adipose tissue, blood vessels, and mucus. All tumors were removed through the pharyngeal approach and the prognosis was good. Conclusion : This tumor is rare in clinic and is often misdiagnosed. It should be combined with clinical and related examinations to make a comprehensive judgment. Pharyngeal approach surgery can completely remove the tumor with a good prognosis.