Endoscopic Submucosal Dissection of a Leiomyoma Originating from the Muscularis Propria of Upper Esophagus.
10.4166/kjg.2013.62.4.234
- Author:
Myung Soo KANG
1
;
Su Jin HONG
;
Jae Pil HAN
;
Jung Yeon SEO
;
La Young YOON
;
Moon Han CHOI
;
Hee Kyung KIM
Author Information
1. Digestive Disease Center and Research Institute, Department of Internal Medicine, Soonchunhyang University College of Medicine, Bucheon, Korea. sjhong@schmc.ac.kr
- Publication Type:Case Reports ; English Abstract
- Keywords:
Endoscopic submucosal dissection;
Leiomyoma;
Esophagus;
Muscularis propria
- MeSH:
Esophageal Neoplasms/*diagnosis/pathology/surgery;
Esophagus/surgery/ultrasonography;
Female;
Gastroscopy;
Humans;
Leiomyoma/*diagnosis/pathology/surgery;
Middle Aged;
Mucous Membrane/pathology;
Stents;
Tomography, X-Ray Computed
- From:The Korean Journal of Gastroenterology
2013;62(4):234-237
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The technique of endoscopic submucosal dissection is occasionally used for resection of myogenic tumors originating from muscularis mucosa or muscularis propria of stomach and esophagus. However, endoscopic treatments for esophageal myogenic tumors >2 cm have rarely been reported. Herein, we report a case of large leiomyoma originating from muscularis propria in the upper esophagus. A 59-year-old woman presented with dysphagia. Esophagoscopy and endoscopic ultrasonography revealed an esophageal subepithelial tumor which measured 25x20 mm in size, originated from muscularis propria, and was located at 20 cm from the central incisors. The tumor was successfully removed by endoscopic submucosal dissection and there were no complications after en bloc resection. Pathologic examination was compatible with leiomyoma.
