Surgical treatment of giant esophageal leiomyoma: report of 13 cases

VernacularTitle:巨大食管平滑肌瘤的外科治疗:附13例报告
Author: Yulong HAN
Publication Type:Journal Article
Keywords: Esophagus; Leiomyoma; Surgical prccedures,operative; Treatment outcome
From: Chinese Journal of Postgraduates of Medicine 2010;33(29):22-23
CountryChina
Language:Chinese
Abstract: Objective To investigate the effects of diagnosis,surgical treatment of giant esophageal leiomyoma. Method The clinical data of 13 patients with giant esophageal leiomyoma treated by surgical operation from April 2001 to March 2009 were retrospectively analyzed. Results Twelve cases were preoperatively diagnosed by esophagogram and esophagoscopy, 1 case was misdiagnosed. Surgical resection was performed successfully in all 13 patients and no complications such as esophageal fistula and esophageal stenosis were found. Followed up 6 months to 3 years, no recurrence was found among 12 patients with giant esophageal leiomyoma, 1 case with esophageal leiomyosarcoma died of tumor recurrence 10 months after operation. Conclusions Surgical resection is the only effective treatment of giant esophageal leiomyoma.Enucleation of tumor extra-mucosa can be used in most cases. Esophagectomy is available for large tumor or malignant tumor. Treatment by endoscopic and thoracoscopic surgery has some limitations and the indications should be considered strictly.