Evaluation and Endoscopic Management of Esophageal Submucosal Tumor
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Submucosal tumors (SMTs) originate from tissues that constitute the submucosal layer and muscularis propria, and are covered by normal mucosa. Esophageal SMTs are rare, accounting for <1% of all esophageal tumors. However, the recent widespread use of endoscopy has led to a rapid increase in incidental detection of SMTs in Korea. Esophageal SMTs are benign in ≥90% of cases, but the possibility of malignancies such as gastrointestinal stromal tumor and malignant leiomyosarcoma still exists. Therefore, patients undergo resection in the presence of symptoms or the possibility of a malignant tumor. For resection of esophageal SMTs, surgical resection was the only option available in case of possible malignancy, but minimally invasive surgery by endoscopic resection is becoming more preferable to surgical resection with the development of endoscopic ultrasonography, endoscopic techniques, and other devices.
Abstract
Submucosal tumors (SMTs) originate from tissues that constitute the submucosal layer and muscularis propria, and are covered by normal mucosa. Esophageal SMTs are rare, accounting for <1% of all esophageal tumors. However, the recent widespread use of endoscopy has led to a rapid increase in incidental detection of SMTs in Korea. Esophageal SMTs are benign in ≥90% of cases, but the possibility of malignancies such as gastrointestinal stromal tumor and malignant leiomyosarcoma still exists. Therefore, patients undergo resection in the presence of symptoms or the possibility of a malignant tumor. For resection of esophageal SMTs, surgical resection was the only option available in case of possible malignancy, but minimally invasive surgery by endoscopic resection is becoming more preferable to surgical resection with the development of endoscopic ultrasonography, endoscopic techniques, and other devices.
참고문헌 (10)
- Emory TS, "Prognosis of gastrointestinal smooth-muscle (stromal) tumors: dependence on anatomic site", Am J Surg Pathol, 23, pp.82~87 (1999)
- Mutrie CJ, "Esophageal leiomyoma: a 40-year experience", Ann Thorac Surg, 79, pp.1122~1125 (2005)
- 김민철, "상부 위장관 점막하종양의 내시경적 유병율과 초음파 내시경 소견", 석사, 의학, pp.2008
- 하태인, "식도 상피하 병변에 대한 젤리를 이용한 세경 탐촉자 내시경초음파 검사", Clinical Endoscopy, 36(3), pp.125~131 (2008), 대한소화기내시경학회
- Gress F, "Interobserver agreement for EUS in the evaluation and diagnosis of submucosal masses", Gastrointest Endosc, 53, pp.71~76 (2001)
- Jeong IH, "Minimally invasive treatment of gastric gastrointestinal stromal tumors: laparoscopic and endoscopic approach", Surg Laparosc Endosc Percutan Tech, 22, pp.244~250 (2012)
- Mani S, "Carcinoids of the rectum", J Am Coll Surg, 179, pp.231~248 (1994)
- Ko WJ, "Tissue diagnosis of GI subepithelial tumor only through Trucut biopsy under a forward-viewing endoscope:applicability as newer diagnostic modality", Surg Endosc, 30, pp.5009~5014 (2016)
- Fujishiro M, "Successful outcomes of a novel endoscopic treatment for GI tumors: endoscopic submucosal dissection with a mixture of high-molecular-weight hyaluronic acid, glycerin, and sugar", Gastrointest Endosc, 63, pp.243~249 (2006)
- Ko WJ, "Novel 3Dprinting technique for caps to enable tailored therapeutic endoscopy", Dig Endosc, 28, pp.131~138 (2016)