Nine years experience in surgical approach of leiomyomatosis of esophagus

<p>Abstract</p> <p>Background</p> <p>Leiomyomas of esophagus, although rare, are the most frequent benign tumors of esophagus. Aim of this study is the presentation of 7 patients with esophageal leiomyomas who underwent surgical treatment during a 9-year period.</p&g...

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Main Authors: Zafiriou Georgios, Setzis Konstantinos, Kleontas Athanassios, Lalountas Miltiadis, Konstantinou Dimitrios, Asteriou Christos, Barbetakis Nikolaos
Format: Article
Language:English
Published: BMC 2009-12-01
Series:World Journal of Surgical Oncology
Online Access:http://www.wjso.com/content/7/1/102
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author Zafiriou Georgios
Setzis Konstantinos
Kleontas Athanassios
Lalountas Miltiadis
Konstantinou Dimitrios
Asteriou Christos
Barbetakis Nikolaos
author_facet Zafiriou Georgios
Setzis Konstantinos
Kleontas Athanassios
Lalountas Miltiadis
Konstantinou Dimitrios
Asteriou Christos
Barbetakis Nikolaos
author_sort Zafiriou Georgios
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Leiomyomas of esophagus, although rare, are the most frequent benign tumors of esophagus. Aim of this study is the presentation of 7 patients with esophageal leiomyomas who underwent surgical treatment during a 9-year period.</p> <p>Methods</p> <p>Epidemiological data (sex, age), the presenting symptoms, diagnostic examinations, tumor location, histopathological findings and the safety and efficacy of surgical resection are analyzed and assessed.</p> <p>Results</p> <p>5 men and 2 women with mean age of 56.9 years were operated. In 3 cases the tumor was located at the lower esophagus, while in the other 4 cases, the leiomyoma was found at the median third of esophagus. 4 patients had severe symptoms related to the leiomyoma, such as dysphagia and epigastric pain. All patients underwent a right postolateral thoracotomy with enucleation of the lesion. None of them received resection of part of the esophagus. The mean diameter of the resected tumors was 4.3 cm. The dimensions of leiomyomas were immediately associated with the symptoms. In no case was detected malignancy or recurrence. All patients were relieved from their symptoms, while postoperative morbidity and mortality did not occur.</p> <p>Conclusions</p> <p>Esophageal leiomyoma is a benign tumor, which causes symptoms only if its size becomes large. Surgical enucleation is considered to be safe and effective, without complications.</p>
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spelling doaj.art-400ad44a36644558888dad8371e6ab492022-12-21T21:19:05ZengBMCWorld Journal of Surgical Oncology1477-78192009-12-017110210.1186/1477-7819-7-102Nine years experience in surgical approach of leiomyomatosis of esophagusZafiriou GeorgiosSetzis KonstantinosKleontas AthanassiosLalountas MiltiadisKonstantinou DimitriosAsteriou ChristosBarbetakis Nikolaos<p>Abstract</p> <p>Background</p> <p>Leiomyomas of esophagus, although rare, are the most frequent benign tumors of esophagus. Aim of this study is the presentation of 7 patients with esophageal leiomyomas who underwent surgical treatment during a 9-year period.</p> <p>Methods</p> <p>Epidemiological data (sex, age), the presenting symptoms, diagnostic examinations, tumor location, histopathological findings and the safety and efficacy of surgical resection are analyzed and assessed.</p> <p>Results</p> <p>5 men and 2 women with mean age of 56.9 years were operated. In 3 cases the tumor was located at the lower esophagus, while in the other 4 cases, the leiomyoma was found at the median third of esophagus. 4 patients had severe symptoms related to the leiomyoma, such as dysphagia and epigastric pain. All patients underwent a right postolateral thoracotomy with enucleation of the lesion. None of them received resection of part of the esophagus. The mean diameter of the resected tumors was 4.3 cm. The dimensions of leiomyomas were immediately associated with the symptoms. In no case was detected malignancy or recurrence. All patients were relieved from their symptoms, while postoperative morbidity and mortality did not occur.</p> <p>Conclusions</p> <p>Esophageal leiomyoma is a benign tumor, which causes symptoms only if its size becomes large. Surgical enucleation is considered to be safe and effective, without complications.</p>http://www.wjso.com/content/7/1/102
spellingShingle Zafiriou Georgios
Setzis Konstantinos
Kleontas Athanassios
Lalountas Miltiadis
Konstantinou Dimitrios
Asteriou Christos
Barbetakis Nikolaos
Nine years experience in surgical approach of leiomyomatosis of esophagus
World Journal of Surgical Oncology
title Nine years experience in surgical approach of leiomyomatosis of esophagus
title_full Nine years experience in surgical approach of leiomyomatosis of esophagus
title_fullStr Nine years experience in surgical approach of leiomyomatosis of esophagus
title_full_unstemmed Nine years experience in surgical approach of leiomyomatosis of esophagus
title_short Nine years experience in surgical approach of leiomyomatosis of esophagus
title_sort nine years experience in surgical approach of leiomyomatosis of esophagus
url http://www.wjso.com/content/7/1/102
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AT setziskonstantinos nineyearsexperienceinsurgicalapproachofleiomyomatosisofesophagus
AT kleontasathanassios nineyearsexperienceinsurgicalapproachofleiomyomatosisofesophagus
AT lalountasmiltiadis nineyearsexperienceinsurgicalapproachofleiomyomatosisofesophagus
AT konstantinoudimitrios nineyearsexperienceinsurgicalapproachofleiomyomatosisofesophagus
AT asteriouchristos nineyearsexperienceinsurgicalapproachofleiomyomatosisofesophagus
AT barbetakisnikolaos nineyearsexperienceinsurgicalapproachofleiomyomatosisofesophagus