Thoracoscopic Excision of an Esophageal Leiomyoma in a 63-Year-Old Woman Presenting with Dysphagia: A Case Report

Document Type : Case Report

Authors

1 Thoracic Surgeon, Associate Professor, Department of Surgery, Faculty of Medicine, Guilan University of Sciences, Rasht, Iran

2 Medical Intern, Faculty of Medicine, Guilan University of Sciences, Rasht, Iran

Abstract
We present the case of a 63-year-old woman with progressive dysphagia. Endoscopy and endoscopic ultrasonography (EUS) revealed a submucosal esophageal mass located 29 cm from the dental arcade, measuring 4.5 × 3.5 × 2.5 cm. Thoracoscopic excision was successfully performed, and histopathological analysis confirmed the diagnosis of leiomyoma. This case highlights the role of minimally invasive thoracoscopic surgery in managing symptomatic esophageal leiomyomas.

Keywords


1. Mutrie CJ, Donahue DM, Wain JC, et al. Esophageal leiomyoma: a 40-year experience. Ann Thorac Surg. 2005; 79(4): 1122–1125.
2. Zengin M, Yıldızhan B, Yıldızhan E. Thoracoscopic enucleation of esophageal leiomyoma: case report and literature review. Turk J Thorac Cardiovasc Surg. 2019; 27(4): 575–578.
3. Seremetis MG, Lyons WS, deGuzman VC, Peabody JW Jr. Leiomyomata of the esophagus. An analysis of 838 cases. Cancer. 1976; 38(5): 2166–2177.
4. Lee LS, Singhal S, Brinster CJ, et al. Current management of esophageal leiomyoma. J Am Coll Surg. 2004; 198(1): 136–146.
5. Kent M, d'Amato T, Nordman C, et al. Minimally invasive resection of benign esophageal tumors. J Thorac Cardiovasc Surg. 2007; 134(1): 176–181.
6. Puli SR, Reddy JB, Bechtold ML, et al. Endoscopic ultrasound in identifying the layer of origin of gastrointestinal tract tumors: a meta-analysis. World J Gastroenterol. 2008; 14(10): 1479–1483.
7. Miettinen M, Sarlomo-Rikala M, Sobin LH, et al. Esophageal stromal tumors: a clinicopathologic, immunohistochemical, and molecular genetic study. Am J Surg Pathol. 2000; 24(2): 211–222.
8. Hatch GF, Wertheimer-Hatch L, et al. Tumors of the esophagus. World J Surg. 2000; 24(4): 401–411.
9. Von Rahden BH, Stein HJ, et al. Enucleation of submucosal tumors of the esophagus: minimally invasive versus open approach. Surg Endosc. 2004; 18(6): 924–930.
10. Hazelrigg SR, Mack MJ, et al. Thoracoscopic enucleation of benign esophageal tumors. Ann Thorac Surg. 1992; 54(6): 1211–1213.
11. Orringer MB, Stirling MC. Esophageal leiomyomectomy: indications and results. Ann Thorac Surg. 1989; 47(1): 49–54.