Yttrium-aluminum-garnet laser therapy of esophageal granular cell tumor

Norberto, Lorenzo; Urso, E.; Angriman, Imerio; Ranzato, R; Erroi, Francesca; Marino, S.; Tosato, Sara Maria; Ruffolo, Cesare; D’Amico, Davide

doi:10.1007/s00464-001-4211-0

Cited by 13 publications

(6 citation statements)

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“…This required an average of four sessions per patient and there were no relapses or complications after 60 months of average monitoring. We may therefore conclude that this could be an efficient and safe alternative for the management of these tumors 22 . The second successfully applied this technique to one patient with a 4 cm tumor.…”

Section: Discussionmentioning

confidence: 85%

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Granular cell tumors of the esophagus: report of five cases and review of diagnostic and therapeutic techniques

Rezende

Lucendo

Álvarez‐Argüelles

2007

Diseases of the Esophagus

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Granular cell tumors (GCT) of the esophagus are stromal lesions originating from the Schwann cells of the submucosal neuronal plexus. Although they are very infrequent, they constitute the second largest cause of non-epithelial tumors in the esophagus after leiomyomas. These tumors are generally benign, although a certain number of malignant, aggressive cases have been reported. Diagnosis requires that this possibility be ruled out before deciding on which course of therapeutic action to take as well as familiarization with the relevant indicators. GCT linked synchronically or metachronically to other malignant neoplasias of the esophagus have also been described, but the actual extent of this association is uncertain. This report describes five cases of GCT recently diagnosed as incidental findings following endoscopic exploration. All of these were benign and were treated conservatively. The article discusses new aspects relating to the diagnosis of these lesions and the role carried out by endoscopic ultrasonography in their characterization, both at preliminary diagnosis and monitoring levels. No standard therapeutic guidelines exist for the management of GCT, but endoscopic treatment without invading the muscularis propria layer would be used for symptomatic patients, creating histopathological doubts requiring research on the entire organ. Endoscopic therapeutic techniques are analyzed (resection with forceps or diathermy handles, yttrium-aluminum-garnet laser ablation, alcohol injection) in esophageal GCT, which have overtaken surgery in most cases due to their efficiency, greater safety and fewer complications.

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Section: Discussionmentioning

confidence: 85%

“…We may therefore conclude that this could be an efficient and safe alternative for the management of these tumors. 22 The second successfully applied this technique to one patient with a 4 cm tumor. The technique produced slight, self-limited thoracic pain as the sole complication.…”

Section: Endoscopic Treatmentmentioning

confidence: 99%

Granular cell tumors of the esophagus: report of five cases and review of diagnostic and therapeutic techniques

Rezende

Lucendo

Álvarez‐Argüelles

2007

Diseases of the Esophagus

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“…It is then snare-resected with electrocoagulation. Yttrium-aluminum-garnet (YAG) laser therapy has also been previously used for esophageal granular cell tumors in a series of four patients [7], with no evidence of recurrence. The Duette Ò technique has not previously been used for EMR of gastric submucosal lesions to our knowledge, and may be useful for the removal of other small similar lesions such as GISTs or lipomas.…”

mentioning

confidence: 99%

Endoscopic Removal of a Granular Cell Tumor from the Stomach Using the Duette® Multiband Mucosectomy Kit

et al. 2009

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“…In recent years endotherapy has been used for GCTs: injection of dehydrated ethyl alcohol (29) or polidocanol (30), APC (12), and Nd:YAG laser (31).…”

Section: Discussionmentioning

confidence: 99%

Esophageal Granular Cell Tumor Treated by Endoscopic Mucosal Resection. A Case Report and Review of the Literature

et al. 2005

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Yttrium-aluminum-garnet laser therapy of esophageal granular cell tumor

Cited by 13 publications

References 0 publications

Granular cell tumors of the esophagus: report of five cases and review of diagnostic and therapeutic techniques

Granular cell tumors of the esophagus: report of five cases and review of diagnostic and therapeutic techniques

Endoscopic Removal of a Granular Cell Tumor from the Stomach Using the Duette® Multiband Mucosectomy Kit

Esophageal Granular Cell Tumor Treated by Endoscopic Mucosal Resection. A Case Report and Review of the Literature

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