Leiomyoma of esophagus—A case report

Abstract

Highlights Among the oesophageal tumour, only less than 10% are benign and leiomyoma is the most common tumour representing approximately two-thirds of the cases. Malignant transformation in leiomyomas are rare and cannot be accurately identified with needle aspiration biopsy making resection followed by histopathological evaluation vital. Malignant transformation in leiomyomas is rare and cannot be accurately identified with needle aspiration biopsy making resection followed by histopathological evaluation vital.

Video-assisted thoracoscopic surgery (VATS) enucleation of large gastroesophageal junction leiomyoma: A case report

“…Esophageal leiomyomas are more common in men by about a factor of two [1] . This patient's leiomyoma was larger than most, as esophageal leiomyomas larger than 5 cm are relatively rare [7] . As a result, this patient was recommended for surgery under the current guidelines that recommend surgical management for esophageal leiomyomas that are larger than 5 cm or that are symptomatic [2] , [7] .…”

“…Surgical treatment is typically only recommended for leiomyomas that are symptomatic or larger than 5 cm [7] . The historical surgical approach for esophageal leiomyoma is an open thoracotomy followed by extra mucosal blunt enucleation [2] .…”

Video-Assisted Thoracic Surgery vs. Thoracotomy for the Treatment in Patients With Esophageal Leiomyoma: A Systematic Review and Meta-Analysis

“…Ohsawa reported in 1933 that thoracotomy was used to remove esophageal leiomyoma (1). However, minimally invasive methods have gradually replaced traditional methods in recent years (1,(5)(6)(7). The surgical option for minimally invasive enucleation of leiomyoma is video-assisted thoracic surgery (VATS) (2,8,9).…”

“…Although there are several reports on the results of surgical research on esophageal leiomyoma, these studies are of a single center with a small sample size or case reports (6,7,(10)(11)(12), which limits their ability to obtain objective results. Therefore, there is no clear conclusion whether VATS can achieve an equal or even better surgical effect when compared with the traditional open approach in the treatment of esophageal leiomyoma.…”

“…(1) Representativeness of the exposed cohort, (2) selection of the non-exposed cohort, (3) ascertainment of exposure,(4) demonstration that outcome of interest was not present at the start of the study, (5) assessment of outcome,(6) was follow-up long enough for outcomes to occur,(7) adequacy of follow-up.…”