Öz
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, symptoms, 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 leiomyoma such as dysphagia. Three patients underwent a right postolateral thoracotomy with enucleation of the lesion. Two patients underwent laparatomy with enucleation of the lesion. One patient was treated by endoscopic submucosal 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.
Anahtar Kelimeler
Leiomyoma esophagus enucleation endoscopic submucosal resection
Kaynakça
- 1. Maggi G, Dei Poli M, Gaetini A, et al. Our experience in 6 cases of leiomyoma of the esophagus. Minerva Chirurgica 1981;36:1035-42.
- 2. Seremetis MG, Lyons WS, DeGusman VC, Peabody JW Jr. Leiomyomata of the Esophagus: an Analysis of 838 cases. Cancer 1976;38:2166-77.
- 3. Samphire J, Nafteux P, Luketich J. Minimally invasive techniques for resection of benign esophageal tumors. Semin Thorac Cardiovas Surg 2003;15:35-43.
- 4. Van der peet DL, Berends FJ, Klinkemberg-Knol EC, Cuesta MA. Endoscopic treatment of benign esophageal tumors: case report of three patients. Surg Endosc 2001;15:1489.
- 5. Ousadden A, Bourdariat R, Poncet G, Boulez J. Esophageal leiomyoma. Six cases of video-assisted enucleation. Presse Med 2006;35:1649-55.
- 6. Pon M, Manger T, Wolf S, et al. Thoracoscopic enucleation of benign tumor of the esophagus under simultaneous flexible esophagoscopy. Surg Endosc 2000;14:1146-8.
- 7. Okugawa Y, Mohri Y, Toiyama Y, et al. Multiple solitary leiomyomas in the esophagus: report of a case. Surg Today 2011;41:563-7.
- 8. Pinheiro FA, Campos AB, Matos JR, Araripe DP. Videoendoscopic surgery for the treatment of esophagus’ leiomyoma. Arq Bras Cir Dig 2013;26:234-7.
- 9. Hu X, Lee H. Complete thoracoscopic enucleation of giant leiomyoma of the esophagus: a case report and review of the literature. J Cardiothorac Surg 2014;9:34.
- 10. Li ZG, Chen HZ, Jin H, et al. Surgical treatment of esophageal leiomyoma located near or at the esophagogastric junction via a thoracoscopic approach. Dis Esophagus 2009;22:185-9.
- 11. Zhou PH, Yao LQ, Qin XY, et al. Endoscopic full-thickness resection without laparoscopic assistance for gastric submucosal tumors originated from the muscularis propria. Surg Endosc 2011;25:2926-31.
- 12. Huang ZG, Zhang XS, Huang SL, Yuan XG. Endoscopy dissection of small stromal tumors emerged from the muscularis propria in the upper gastrointestinal tract: Preliminary study. World J Gastrointest Endosc 2012;4:565-70.
Öz
davi yapılan altı hastanın sunumudur. Gereç ve Yöntem: Epidemiyolojik veri, semptomlar, 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 özofagusun orta bölümünde yerleşirken, üç vakada tümör alt özofagus yerleşimliydi. Beş hastada disfaji gibi leiomyoma ilişkili semptomlar vardı. Üç hastada lezyona enükleasyon sağ posterolateral torakotomi ile yapıldı. İki hastada laparotomi 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 saptanmadı. 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.
Anahtar Kelimeler
Leiomyoma özofagus enükleasyon endoskopik submukozal rezeksiyon
Kaynakça
- 1. Maggi G, Dei Poli M, Gaetini A, et al. Our experience in 6 cases of leiomyoma of the esophagus. Minerva Chirurgica 1981;36:1035-42.
- 2. Seremetis MG, Lyons WS, DeGusman VC, Peabody JW Jr. Leiomyomata of the Esophagus: an Analysis of 838 cases. Cancer 1976;38:2166-77.
- 3. Samphire J, Nafteux P, Luketich J. Minimally invasive techniques for resection of benign esophageal tumors. Semin Thorac Cardiovas Surg 2003;15:35-43.
- 4. Van der peet DL, Berends FJ, Klinkemberg-Knol EC, Cuesta MA. Endoscopic treatment of benign esophageal tumors: case report of three patients. Surg Endosc 2001;15:1489.
- 5. Ousadden A, Bourdariat R, Poncet G, Boulez J. Esophageal leiomyoma. Six cases of video-assisted enucleation. Presse Med 2006;35:1649-55.
- 6. Pon M, Manger T, Wolf S, et al. Thoracoscopic enucleation of benign tumor of the esophagus under simultaneous flexible esophagoscopy. Surg Endosc 2000;14:1146-8.
- 7. Okugawa Y, Mohri Y, Toiyama Y, et al. Multiple solitary leiomyomas in the esophagus: report of a case. Surg Today 2011;41:563-7.
- 8. Pinheiro FA, Campos AB, Matos JR, Araripe DP. Videoendoscopic surgery for the treatment of esophagus’ leiomyoma. Arq Bras Cir Dig 2013;26:234-7.
- 9. Hu X, Lee H. Complete thoracoscopic enucleation of giant leiomyoma of the esophagus: a case report and review of the literature. J Cardiothorac Surg 2014;9:34.
- 10. Li ZG, Chen HZ, Jin H, et al. Surgical treatment of esophageal leiomyoma located near or at the esophagogastric junction via a thoracoscopic approach. Dis Esophagus 2009;22:185-9.
- 11. Zhou PH, Yao LQ, Qin XY, et al. Endoscopic full-thickness resection without laparoscopic assistance for gastric submucosal tumors originated from the muscularis propria. Surg Endosc 2011;25:2926-31.
- 12. Huang ZG, Zhang XS, Huang SL, Yuan XG. Endoscopy dissection of small stromal tumors emerged from the muscularis propria in the upper gastrointestinal tract: Preliminary study. World J Gastrointest Endosc 2012;4:565-70.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 25 Aralık 2015 |
| Yayımlandığı Sayı | Yıl 2015 Cilt: 23 Sayı: 3 |