Gökhan AKSAKAL, Yıldıran SONGÜR, Mehmet İŞLER, Nermin KARAHAN, Mete AKIN

Granular cell tumor of the esophagus

Granüler hücreli tümörler nadir lezyonlardır ve vakaların sadece % 4-6sı gastrointestinal sistemdelokalize olur. Bunlarında yaklaşık üçte biri özofagusta ortaya çıkar. Genellikle küçük veasemptomatik lezyonlardır ve malignite oranları yaklaşık %2-4 arasındadır. Genellikle tesadüfensaptanırlar ancak bazı nonspesifik semptomalara da sebep olabilirler. Küçük ve asemptomatiklezyonlarda endoskopik izlem yeterli olabilirken semptomatik hastalarda ve malignite potansiyeliolan lezyonlarda cerrahi veya endoskopik rezeksiyon önerilmektedir. Bu yazıda, nonspesifikdispeptik yakınmalar nedeniyle tetkik edilen, üst gastrointestinal sistem endoskopisinde distalözofagusta submukozal polipoid lezyon tespit edilerek endoskopik polipektomi ile rezeksiyonuygulanan ve granüler hücreli tümör 5 tanısı konulan bir vaka bildiriyoruz.

Özof agus yerleşimli granüler hücreli tümör

Granular cell tumors are rare lesions and only 4-6% of cases were located in gastrointestinalsystem. Approximately one third of these cases occur in the esophagus. They are usually small andasymptomatic lesions and malignancy rate is approximately 2-4%. They are usually detectedincidentally, however may be cause some nonspesific symptoms in patients. Altough endoscopicfollow up is sufficient for small and asymptomatic tumors, surgical or endoscopic resection isrecommended in symptomatic patients and lesions with malign potential. We report here in, a caseof granular cell tumor, wich was detected in distal esophagus on upper gastrointestinal tractendoscopy and resected by endoscopic polipectomy, in a patient with nonspesific dyspepticcomplaints.

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