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Journal of Zhejiang University SCIENCE B 2008 Vol.9 No.8 P.662-666

http://doi.org/10.1631/jzus.B0820049


The value of endoscopic ultrasonography on diagnosis and treatment of esophageal hamartoma


Author(s):  Guo-qiang XU, Feng-ling HU, Li-hua CHEN, Guo-dong SHAN, Bing-ling ZHANG

Affiliation(s):  Department of Gastroenterology, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China

Corresponding email(s):   xuguoqi@mail.hz.zj.cn

Key Words:  Esophageal hamartoma, Endoscopic ultrasonography (EUS), Gastroscopic resection


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Guo-qiang XU, Feng-ling HU, Li-hua CHEN, Guo-dong SHAN, Bing-ling ZHANG. The value of endoscopic ultrasonography on diagnosis and treatment of esophageal hamartoma[J]. Journal of Zhejiang University Science B, 2008, 9(8): 662-666.

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author="Guo-qiang XU, Feng-ling HU, Li-hua CHEN, Guo-dong SHAN, Bing-ling ZHANG",
journal="Journal of Zhejiang University Science B",
volume="9",
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pages="662-666",
year="2008",
publisher="Zhejiang University Press & Springer",
doi="10.1631/jzus.B0820049"
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%0 Journal Article
%T The value of endoscopic ultrasonography on diagnosis and treatment of esophageal hamartoma
%A Guo-qiang XU
%A Feng-ling HU
%A Li-hua CHEN
%A Guo-dong SHAN
%A Bing-ling ZHANG
%J Journal of Zhejiang University SCIENCE B
%V 9
%N 8
%P 662-666
%@ 1673-1581
%D 2008
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B0820049

TY - JOUR
T1 - The value of endoscopic ultrasonography on diagnosis and treatment of esophageal hamartoma
A1 - Guo-qiang XU
A1 - Feng-ling HU
A1 - Li-hua CHEN
A1 - Guo-dong SHAN
A1 - Bing-ling ZHANG
J0 - Journal of Zhejiang University Science B
VL - 9
IS - 8
SP - 662
EP - 666
%@ 1673-1581
Y1 - 2008
PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.B0820049


Abstract: 
Objective: To examine the values of endoscopic ultrasonography (EUS) on diagnosis and treatment of esophageal hamartoma. Methods: We compared and analyzed various kinds of imaging examinations such as barium esophagram, contrast-enhanced computed tomography (CT) and conventional gastroscopy in retrospectively reviewing the clinical data of an esophageal hamartoma patient seen in our clinic in the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China. Having received various imaging examinations, this patient was finally diagnosed with esophageal hamartoma and underwent gastroscopic resection of hamartoma with the diagnostic information obtained from EUS. The patient had been regularly followed up for 13 months after treatment. Results: Barium esophagram, CT and conventional gastroscopy detected the lesion, but were unable to distinguish it from common esophagopolypus and other submucosal lesions, and unable to determine etiopathogenisis. EUS detected the hamartoma and identified its internal structure, echo, exact size, depth of invasion, origin and the relationship between adjacent tissues and organs, differentiating the lesion from other submucosal tumors and clearly defining the diagnosis. EUS-guided fine needle aspiration (FNA) also helped to identify the etiological diagnosis. Conclusion: EUS was superior to other imaging means in diagnosis and treatment of hamartoma.

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