Džinovski fibrovaskularni polip jednjaka sa kliničkim ponašanjem inflamatornog pseudotumora

  • Vladimir Ćuk Surgical Clinic „Nikola Spasić“, Zvezdara University Medical Center, Belgrade, Serbia
  • Slavica Knežević - Ušaj Department of Pathology, Institute of Oncology of Vojvodina, Faculty of Medicine, University of Novi Sad, Novi Sad, Serbia
  • Mile Ignjatović Clinic for General Surgery, Military Medical Academy, Belgrade, Serbia
  • Zoran Kostić Clinic for General Surgery, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
  • Dino Tarabar Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia; Clinic for Gastroenterology, Military Medical Academy, Belgrade, Serbia
  • Bojan Kovačević Surgical Clinic „Nikola Spasić“, Zvezdara University Medical Center, Belgrade, Serbia
  • Milena Šćepanović Surgical Clinic „Nikola Spasić“, Zvezdara University Medical Center, Belgrade, Serbia
  • Damjan Slavković Clinic for General Surgery, Military Medical Academy, Belgrade, Serbia
DOI: https://doi.org/10.2298/3903
Ključne reči: polyps||, ||polipi, esophagus||, ||jednjak, granuloma, plasma cell||, ||granulom, plazmocelularni, diagnosis||, ||dijagnoza, endosonography||, ||endosonografija, histological techniques||, ||histološke tehnike, surgical procedures, operative||, ||hirurgija, operativne procedure, treatment outcome||, ||lečenje, ishod,

Sažetak


Uvod. Fibrovaskularni polipi jednjaka su retke, benigne, intraluminalne, submukozne neoplazme na peteljci, koje mogu postići džinovski rast. Najčešći simptomi fibrovaskularnih polipa jednjaka su otežano gutanje, povraćanje i mršavljenje. Fibrovaskularni polipi sa dugom peteljkom se mogu povratiti u disajne puteve izazivajući asfiksiju. Inflamatorni pseudotumor jednjaka je veoma redak tumor, često udružen sa različitim sistemskim manifestacijama kao što su febrilnost, anemija i trombocitoza. Prikaz bolesnika. Prikazali smo bolesnika starog 29 godina, sa dugotrajnom febrilnošću i disfagijom. Tokom ispitivanja kod bolesnika je nađen veliki submukozni tumor jednjaka na peteljci, koji je hirurški odstranjen u celosti. Histopatološki pregled ovog velikog tumora, 24 ´ 9 ´ 6 cm, pokazao je da se radilo o fibrovaskularnom polipu. Postoperativni tok je protekao bez komplikacija, a preoperativna febrilnost, anemija i trombocitoza su nestale. Zaključak. Ovo je prikaz slučaja bolesnika sa velikim polipoidnim tumorom jednjaka koji se klinički ponašao kao zapaljenski pseudotumor, a mikroskopska slika je odgovarala fibrovaskularnom polipu, što nismo našli opisano u literaturi do sada.

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Objavljeno
2015/04/23
Broj časopisa
Vol. 71 Br. 8 (2014)
Rubrika
Prikaz bolesnika