Leiomioma de esôfago com características epidemiológicas anormais: relato de caso

Pereira, Francini de Barrios; Leão, Bruno da Costa; Leli, Luiz Fernando; Lima, Marcelo de Paula

doi:10.11606/issn.1679-9836.v97i3p357-360

Cited by 3 publications

(5 citation statements)

References 5 publications

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“…In the reported case, the patient presented mild dysphagia and retrosternal pain for 4 months. Surgical treatment is also indicated when there is doubt about the nature of the lesion or in cases where the lesion exceeds five centimeters 8 .…”

Section: Discussionmentioning

confidence: 99%

“…When the leiomyoma is smaller than five centimeters and asymptomatic, expectant management should be performed and follow-up with imaging and periodic endoscopy. This is only possible considering that the esophageal leiomyoma has a characteristical radiological aspect, slow growth rate and very low risk of malignant degeneration 8 . Tomography determines the size and relationship with neighboring organs, and can also be used for periodic follow-up of incidentalomas as this is a slow growing benign tumor 7 .…”

Section: Discussionmentioning

confidence: 99%

“…In particular, considering that its performance may generate adhesions of the mucosa to the tumor, making it difficult to enucleate without mucosal injury during surgery 1,8 .…”

Section: Discussionmentioning

confidence: 99%

“…Considering that in 80% of cases the esophageal leiomyoma is found in the middle and lower thirds of the esophagus, the transhiatal videolaparoscopic approach becomes possible 8 .…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic treatment of giant circumferential leiomyoma of the distal esophagus

Aranha¹,

Aranha²,

Brandalise³

et al. 2020

Rev. Med. (São Paulo)

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Introduction: Leiomyomas are rare esophagus tumors, with 0.4-1% incidence of all esophagus tumors. Only 5% grow to the point of being called giant tumors, measuring more than 10cm. Symptoms usually begin on tumors bigger than 5cm. Objective: Reporting a new therapeutic course of action to giant leiomyomas of distal esophagus. Case Report: VCA, female, 38 years old, presented retrosternal oppression for 4 months. Having realized a computed tomography on another service which demonstrated a mass suggestive of leiomyoma. On the endoscopy exam, performed for heartburn complaint and mild dysphagia, was determined a hiatal hernia of 2cm and mild gastritis. Patient submitted to complete excision of tumor without mucosal lesion and reconstruction of the external muscular wall, by the video laparoscopic method. Hiatoplasty and partial esophagogastrofundoplication were associated. The anatomic pathological examination confirmed leiomyoma, with 10x5x2cm. Patient evolved clinically without the appearance of the heartburn or dysphagia. With contrast examination of the esophagus after 6 months and endoscopy and tomography the following 4 years, all normal. The classic treatment of giant leiomyomas, includes thoracotomy with esophagectomy. Considering that in 80% of the cases it is found in the middle and lower thirds of the esophagus, the videolaparoscopic approach by transhiatal route becomes possible. The reconstruction of the external muscular layer is important to prevent a possible prolapse of the mucosa. Also, the realization of the fundoplication in addition to avoiding the gastroesophageal reflux, allows the suture area of the esophageal muscular wall to be covered, increasing the safety in the treatment. In services with experience in the surgical treatment of diseases of the gastric esophagus transition through the videolaparoscopic method, it is possible to perform with adequate safety the surgical treatment of the tumor lesions of the distal esophagus. The method provides greater postoperative comfort and prompt clinical surgical recovery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…In particular, considering that its performance may generate adhesions of the mucosa to the tumor, making it difficult to enucleate without mucosal injury during surgery 1,8 .…”

Section: Discussionmentioning

confidence: 99%

“…Considering that in 80% of cases the esophageal leiomyoma is found in the middle and lower thirds of the esophagus, the transhiatal videolaparoscopic approach becomes possible 8 .…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Laparoscopic treatment of giant circumferential leiomyoma of the distal esophagus

Aranha¹,

Aranha²,

Brandalise³

et al. 2020

Rev. Med. (São Paulo)

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show abstract

“…The classic treatment of giant leiomyomas larger than 10cm, includes thoracotomy with esophagectomy. Considering that in 80% of the cases it is found in the middle and lower thirds of the esophagus, the videolaparoscopic approach by transhiatal route becomes possible 3 . The reconstruction of the external muscular layer is important to prevent a possible prolapse of the mucosa 1 .…”

mentioning

confidence: 99%

Laparoscopic treatment of giant circumferential leiomyoma of the distal esophagus

Aranha¹,

Aranha²,

Brandalise³

et al. 2019

Rev. Med. (São Paulo)

View full text Add to dashboard Cite

Introduction:Leiomyomas are rare esophagus tumors, with 0.4-1% incidence of all esophagus tumors, being more frequent in medium and distal portions 1 . Only 5% grow to the point of being called giant tumors, measuring more than 10cm 2 . Symptoms usually begin on tumors equal to or bigger than 5cm.Objectives: The following case objectifies reporting a new therapeutic course of action to giant leiomyomas of distal esophagus.

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Esophageal leiomyoma: Laparotomic enucleation in a specialty center in the Amazon

da Silva Martins,

Felipe Figueiredo,

Lourenço Lira

et al. 2024

Int J Case Rep Images

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Introduction: Leiomyoma is considered a rare esophageal tumor, it is more common in the middle and distal esophagus and affects women from 20 to 69 years old. The objective of this article is to report the case of a young patient with digestive symptoms secondary to esophageal Leiomyoma that progressed to enucleation via laparotomy. Case Report: Young woman, 24 years old, experiencing symptoms of retrosternal pain and dry cough for two years, associated with progressive dysphagia from solids to liquids and weight loss. Upper digestive endoscopy showed a heterogeneous lesion in the distal esophagus and gastrointestinal seriography suggested extramucosal esophageal tumor. Computed tomography (CT) of the chest showed a lobulated formation in the distal esophagus, measuring 5.5 × 3.7 × 3.6 cm (L × T × AP), with a reduction in the luminal diameter in the distal esophagus. Conventional laparotomy treatment was chosen due to the size and location of the lesion at the esophagogastric confluence with tumor enucleation via the transesophageal abdominal route. The patient was discharged on the 4th postoperative day, stable, without symptoms, eating a soft diet orally. Conclusion: The diagnosis of esophageal leiomyoma, a rare disease with insidious evolution, was observed in a young patient, using an alternative access route to the established thoracotomy access. The appearance of symptoms is related to the size of the lesion, therefore, it should be investigated in patients with dysphagic symptoms with the aim of providing early diagnosis and less complex surgical treatment.

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Leiomioma de esôfago com características epidemiológicas anormais: relato de caso

Cited by 3 publications

References 5 publications

Laparoscopic treatment of giant circumferential leiomyoma of the distal esophagus

Laparoscopic treatment of giant circumferential leiomyoma of the distal esophagus

Laparoscopic treatment of giant circumferential leiomyoma of the distal esophagus

Esophageal leiomyoma: Laparotomic enucleation in a specialty center in the Amazon

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