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Carcinoma arising in a pharyngeal pouch previously treated by endoscopic stapling.

机译:咽袋中发生的癌,先前经内镜吻合术治疗过。

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摘要

OBJECTIVES: A case is described in which squamous cell carcinoma was found during surgery for a recurrent pharyngeal pouch previously treated by endoscopic stapling. A search of the English language literature suggests this is the first reported case of a carcinoma developing in a pharyngeal pouch previously treated by endoscopic stapling. STUDY DESIGN: Case report and literature review. MATERIALS AND METHODS: The records of a patient who presented with a recurrent pharyngeal pouch after a previous endoscopic stapling procedure were reviewed. The presentation, imaging, and histopathologic findings are presented and the implications of these discussed. RESULTS: Imaging confirmed a recurrent pharyngeal diverticulum. An endoscopic assessment revealed the presence of tumor in the recurrent pouch that histopathologic evaluation confirmed to be squamous cell carcinoma. The patient underwent an external excision of this diverticulum followed by a course of external beam radiotherapy. CONCLUSIONS: This is the first reported case of a carcinoma developing in a recurrent pharyngeal diverticulum previously treated by endoscopic stapling and brings to light a rare risk of endoscopic stapling procedures for the treatment of pharyngeal diverticula.
机译:目的:描述一例在手术期间发现复发性咽袋的鳞状细胞癌的病例,该咽袋先前已接受内镜吻合术治疗。对英语文献的搜索表明,这是第一例报道的癌变病例,该病例在先前经内镜吻合术治疗的咽袋中发展。研究设计:病例报告和文献复习。材料与方法:回顾了先前的内镜吻合手术后出现复发性咽囊的患者的记录。介绍了表现,影像学和组织病理学发现,并讨论了这些影响。结果:影像学检查证实复发性咽憩室。内窥镜评估发现复发性囊袋中存在肿瘤,组织病理学评估证实该肿瘤为鳞状细胞癌。患者对该憩室进行了外部切除,随后进行了外部束放射治疗。结论:这是第一例报道的复发性咽憩室发生癌的病例,该病例经内镜吻合术治疗,并暴露了内镜吻合术治疗咽憩室的罕见风险。

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