Abstract
Esophageal leiomyoma (EL) is rare but still the most common benign tumor of the esophagus. Extra-mucosal enucleation (EME) is the treatment of choice. Many recent reports have favored esophageal resection for giant Esophageal leiomyomas (ELs). The consequence of esophageal resection is well known and it would be radical to consider it as a preferred treatment for giant EL since most of them are still benign. We share case series of five giant ELs managed by EME, avoiding a mucosal breach and hence avoiding potentially morbid esophageal resections.
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References
Jiang W, Rice TW, Goldblum JR. Esophageal leiomyoma: experience from a single institution. Dis Esophagus. 2013;26:167–74.
Xuefei S, Jiabang W, Guotao Y. Surgical treatment of esophageal leiomyoma larger than 5 cm in diameter: a case report and review of the literature. J Thorac Dis. 2012;4:323–6.
Cheng BC, Chang S, Mao ZF, et al. Surgical treatment of giant esophageal leiomyoma. World J Gastroenterol. 2005;11:4258–60.
Mutrie CJ, Donahue DM, Wain JC, et al. Esophageal leiomyoma: a 40-year experience. Ann Thorac Surg. 2005;79:1122–5.
Caðlar E, Hatemi I, Atasoy D, et al. Concordance of endoscopic ultrasonography-guided fine needle aspiration diagnosis with the final diagnosis in subepithelial lesions. Clin Endosc. 2013;46:379–83.
Dendy M, Johnson K, Boffa DJ. Spectrum of FDG uptake in large (>10 cm) esophageal leiomyomas. J Thorac Dis. 2015;7:E648–51.
Liu H, Wei LL, Zhang YZ, et al. Submucosal tunnelling endoscopic resection (STER) for the treatment of a case of huge esophageal tumor arising in the muscularis propria: a case report and review of literature. Int J Clin Exp Med. 2015;8:15846–51.
Roviaro GC, Maciocco M, Varoli F, Rebuffat C, Vergani C, Scarduelli A. Videothoracoscopic treatment of oesophageal leiomyoma. Thorax. 1998;53:190–2.
Lee LS, Singhal S, Brinster CJ, et al. Current management of esophageal leiomyoma. J Am Coll Surg. 2004;198:136–46.
Punpale A, Rangole A, Bhambhani N, et al. Leiomyoma of esophagus. Ann Thorac Cardiovasc Surg. 2007;13:78–81.
von Rahden BH, Stein HJ, Feussner H, Siewert JR. Enucleation of submucosal tumors of the esophagus: minimally invasive versus open approach. Surg Endosc. 2004;18:924–30.
Jiang G, Zhao H, Yang F, et al. Thoracoscopic enucleation of esophageal leiomyoma: a retrospective study on 40 cases. Dis Esophagus. 2009;22:279–83.
De Giacomo T, Bruschini P, Arcieri S, et al. Partial oesophagectomy for giant leiomyoma of the oesophagus: report of 7 cases. Eur J Cardiothorac Surg. 2015;47:143–5.
Hu X, Lee H. Complete thoracoscopic enucleation of giant leiomyoma of the esophagus: a case report and review of the literature. J Cardiothorac Surg. 2014;9:34.
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AP, VKS, AS, and AC declare that they have no conflict of interest.
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Perwaiz, A., Shaw, V.K., Singh, A. et al. Extra-mucosal enucleation is still a safe and feasible treatment option of giant esophageal leiomyomas. Indian J Gastroenterol 37, 63–66 (2018). https://doi.org/10.1007/s12664-018-0835-z
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DOI: https://doi.org/10.1007/s12664-018-0835-z