Leiomyomas of esophagus

Key Findings & Data:The aim of this study is to describe 6 patients with esophageal leiomyomas who underwent surgical treatment during a 18-month period.

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Conclusion & Impact:Endoscopic submucosal resection appears to be a feasible and minimally invasive treatment for some patients with little esophageal leiomyomas

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Background and Aims: Leiomyomas of the esophagus are the most frequent benign tumors of esophagus. The aim of this study is to describe 6 patients with esophageal leiomyomas who underwent surgical treatment during a 18-month period. Materials and Methods: Epidemiological data, symp- toms, diagnostic examinations, location, histopathological findings and the results of surgical resection were assessed. Results: Two men and 4 women, mean age of 49 years, underwent surgery. In 3 cases the tumor was located in the lower esophagus, while in the other 3 cases, the leiomyoma was found at the middle part of esophagus. Five patients had symptoms related to the leio- myoma such as dysphagia. Three patients underwent a right postolateral tho- racotomy with enucleation of the lesion. Two patients underwent laparatomy with enucleation of the lesion. One patient was treated by endoscopic sub- mucosal resection (EMR). The mean diameter of the resected tumors were 4 cms. No cases of malignancy or recurrence was detected. Postoperative morbidity and mortality did not occur. Conclusion: Surgical enucleation is considered as a safe and effective procedure for esophageal leiomyoma. Endoscopic submucosal resection appears to be a feasible and minimally invasive treatment for some patients with little esophageal leiomyomas

Özet

Giriş ve Amaç: Özofagusun leiomyomları özofagusun en sık görülen benign tümörleridir.Bu çalışmanın amacı; 18 aylık bir dönemde cerrahi tedavi yapı- lan altı hastanın sunumudur. Gereç ve Yöntem: Epidemiyolojik veri, semp- tomlar, diagnostik, muayeneler, yerleşim, histopatolojik bulgular ve cerrahi rezeksiyonun sonuçları değerlendirildi. Bulgular: Ortalama yaşı kırkdokuz olan iki erkek ve dört kadın ameliyat edildi. Üç olguda leiomyoma özofagu- sun orta bölümünde yerleşirken, üç vakada tümör alt özofagus yerleşimliydi. Beş hastada disfaji gibi leiomyoma ilişkili semptomlar vardı. Üç hastada lez- yona enükleasyon sağ posterolateral torakotomi ile yapıldı. İki hastada lapa- rotomi ile enükleasyon uygulandı. Bir hasta endoskopik mukozal rezeksiyon ile tedavi edildi. Ortalama rezeke edilen tümör çapı 4 cm idi. Hiçbir olguda malignite ve metastaz saptanmadı. Postoperatif morbidite ve mortalite sap- tanmadı. Tartışma: Özofagus leiomyoma için cerrahi enükleasyon güvenli, etkili olarak düşünüldü. Endoskopik submukozal rezeksiyon küçük boyutlu özofageal leiomyomalı bazı hastalar için uygulanabilir ve minimal invaziv tedavi yöntemi olarak görünmektedir

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Cite This Article

ANUK, T., ALLAHVERDİ, T. D., GÜNERHAN, Y., SÜLÜ, B., KÖKSAL, N. (2022). Leiomyomas of esophagus. Endoskopi, Cilt: 23 - Sayı: 3, 70–72. https://ajindex.com/articles/501132

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