Summary
Endoscopic ultrasonography was carried out on 55 patients whose X-ray films or endoscopic examinations indicated the presence of a submucosal tumor. Endoscopic ultrasonography revealed 8 cases of extraluminal compression and 48 cases of submucosal tumors. Histological studies were performed on 29 cases with submucosal tumors. In 28 of the 29 cases (97%) the location of the tumor in the esophageal wall was correctly estimated ultrasonographically, and appropriate treatment was selected. Tumors ranging from 3 to 50 mm in diameter could be measured accurately. This method may be helpful in follow-up studies. Endoscopic ultrasonographic findings, such as characteristics of the tumor border and internal echoes, were studied to predict the histological diagnosis of the tumor. Leiomyoma, cyst, granular cell tumor, lipoma, and intraluminal metastasis of esophageal cancer were all found to have specific ultrasonographic findings indicating the histological nature of the tumor.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Appelman HD, Helwig BE (1976) Gastricepitheliod leiomyoma and leiomyosarcoma (leiomyoblastoma). Cancer 38: 708–728
Bayerdorffer E, Ottenjann R (1986) Granular cell tumor in upper GI-tract endoscopy: five cases of esophageal location. Endoscopy 18: 97–100
Choh JH, Khazei AH, Ihm HJ (1986) Leiomyosarcoma of the esophagus: report of a case and review of the literature. J Surg Oncol 32: 223–226
Endo M (1983) Endoscopic examination in the esophagus. In: Kusama S, Wada T, Saigusa M (eds) Geka Mook 33. Kanehara shupan, Tokyo Ohsaka Hukuoka, pp 25–32
Franklin GO, Antler AS, Thelmo WL, Rosenthal WS (1982) Esophageal leiomyosarcoma. NY State J Med: 1100–1103
Mahendra Ranchod MB CHB, Kempson RJ (1977) Smooth muscle tumors of the gastrointestinal tract and retroperitoneum. A pathologic analysis of 100 cases. Cancer 39: 255–262
Misunaga A (1987) Diagnosis of submucosal tumors of the upper gastrointestinal tract by endoscopic ultrasonography. Gastroenterol Endosc 28: 3–15
Murata Y, Muroi M, Yoshida M, Ide H, Hanyu F (1987) Endoscopic ultrasonography in the diagnosis of esophageal carcinoma. Surg Endosc 1: 11–16
Nauert TC, Zornoza J, Ordonez N (1982) Gastric leiosarcomas. AJR 139: 291–297
Palchick BA, Alpert MA, Holmes RA, Tully RJ, Wilson RC (1983) Esophageal hemangioma. Diagnosis with computed tomography and radionuclide angiography. South Med J 76: 1582–1584
Plachta A, Montrose NY (1962) Benign tumor of the esophagus: review of literature and report of 99 cases. Am J Gastroenterol 38: 639–652
Schulthess GK, Mcmurdo K, Tscholakoff D, Geer G, Gamsu G, Higgins CB (1986) Mediastinal masses: MR image. Radiology 158: 289–296
Seremetis MG, Lyons WS, Deguzman VC, Peabody JW (1976) Leiomyoma of the esophagus. An analysis of 838 cases. Cancer 38: 2166–2177
Shimazu H, Kobori O, Danno M, Yokohata T, Sito H, Morioka Y (1983) Leiomyoma and leiomyosarcoma of the esophagus: report of 9 cases and review of the Japanese literature. J Jpn Surg Soc 84: 355–368
Tio TL, Tytgat GNJ (1986) Endoscopic ultrasonography of an arteriovenous malformation in a gastric polyp. Endoscopy 18: 156–158
Ueno E, Ito K, Saito K, Wkasugi H, Morioka Y (1981) The ultrasonic tissue characterization of breast diseases. Jpn J Med Ultrasound 8: 123–132
Vantrappen G, Pringot J (1974) Tumors of the esophagus, benign tumors, and cysts of the esophagus. In: Vantrappen G, Hellemans J (eds) Diseases of the esophagus. Springer, Berlin Heidelberg New York, pp 431–446
Yasuda K, Nakajima M, Kawai K (1986) Endoscopic ultrasonography in the diagnosis of submucosal tumor of the upper digestive tract. Scand J Gastroenterol [Suppl 123] 21: 59–67
Yoshida M, Hayashi T, Yoshida K, Ide H, Suzuki S, Yamada A, Endo M (1978) Endoscopic polypectomy in the benign esophageal tumors. Gastroenterol Endosc 20: 217–221
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Murata, Y., Yoshida, M., Akimoto, S. et al. Evaluation of endoscopic ultrasonography for the diagnosis of submucosal tumors of the esophagus. Surg Endosc 2, 51–58 (1988). https://doi.org/10.1007/BF00704350
Issue Date:
DOI: https://doi.org/10.1007/BF00704350