Cirujano General

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board

>Journals >Cirujano General >Year 2002, Issue 3

Pérez GR, Solórzano TF, Choy GJ
Leiomyoma of the esophagus: Apropos of one case
Cir Gen 2002; 24 (3)

Language: Español
References: 20
Page: 225-228
PDF: 4. Kb.

Full text


Objective: To describe the case of a patient with a leiomyoma of the esophagus.
Setting: Third level health care hospital.
Design: Report of one case.
Description of the case: A man, 51 years old, with acid-peptic disease antecedents since the age of 20, treated empirically with antiacids, with disease symptoms for two years characterized by non-selective dysphagia, pyrosis, retrosternal pain and regurgitation, and weight loss of 2 kg. Laboratory tests, such as blood tests, hepatic functional tests, and general urine test, were within normal ranges or negative. The gastroduodenal series, endoscopy, and endoscopic ultrasound were compatible with the presence of a leiomyoma in the middle third of the esophagus. He was subjected to surgery through right thoracotomy, enucleating the tumor (4 x 3 cm), and evolved satisfactorily. The histopathologic study confirmed the diagnosis of leiomyoma of the esophagus. At present, 12 months after surgery, the patient is asymptomatic, and the esophagogram study revealed a small indentation at the site of tumor extirpation, endoscopy was normal.
Conclusion: Definitive treatment consists of enucleation of the tumor through thoracotomy or thoracoscopy.

Key words: Esophagus, leiomyoma, thoracotomy.


  1. Seremetis MG, Lyons WS, De Guzmán VC, Peabody JW Jr. Leiomyomata of the esophagus. An analysis of 838 cases. Cancer 1976; 38: 2166-75.

  2. Fockens P, Bartelsman JF, Tytgat GN. Benign and malignant esophageal tumors other than squamous and adenocarcinoma. Gastrointest Endosc Clin North Am 1994; 4: 791-801.

  3. Deren MM, Lundell D, Saieh T, Wilson G. Leiomyoma of the esophagus. Conn Med 1979; 43: 483-5.

  4. Kimura H, Konishi K, Kawamura T, Nojima N, Satou T, Kaji M, et al. Smooth muscle tumors of the esophagus: clinic pathological findings in six patients. Dis Esophagus 1999; 12: 77-81.

  5. Berry BE. Esophageal leiomyomata: spectrum of clinical presentation and management. J La State Med Soc 1980; 132: 102-4.

  6. Hickling P, Buksh K, Beck P. A case of leiomyoma of the esophagus complicated by superior cava vein obstruction and associated eosinophilia. Postgrad Med J 1980; 56: 431-4.

  7. Baumgartner WA, Mark JB. Esophageal leiomyoma first seen as a superior mediastinal mass. Arch Surg 1980; 115: 94.

  8. Cohen AM, Cunat JS. Giant esophageal leiomyoma as a mediastinal mass. J Can Assoc Radiol 1981; 32: 129-30.

  9. Tamura K, Takamori S, Tayama K, Mitsuoka M, Hayashi A, Fujita H, et al. Thoracoscopic resection of a giant leiomyoma of the esophagus with a mediastinal outgrowth. Ann Thorac Cardiovasc Surg 1988; 4: 351-3.

  10. Samaiya A, Chumber S, Vashishth S, Karak AK. Esophageal leiomyoma presenting as a mediastinal mass. Trop Gastroenterol 2000; 21: 204-6.

  11. Levine MS, Buck JL, Pantongrag-Brown L, Buetow PC, Lowry MA, Sobin LH. Esophageal leiomyomatosis. Radiology 1996; 199: 533-6.

  12. Xu GM, Niu YL, Zou XP, Jin ZD, Li ZS. The diagnostic value of transendoscopic miniature ultrasonic probe for esophageal diseases. Endoscopy 1998; 30 Suppl: AZ8-32.

  13. Boyd DP, Hill LD. Benign tumors and cysts of the esophagus. Am J Surg 1957; 93: 252-8.

  14. Calabrese C, Areni A, Scialpi C, Difebo G. Diffuse oesophageal leiomyomatosis. Dig Liver Dis 2000; 32: 645-6.

  15. Takubo K, Nakagawa H, Tsuchiya S, Mitomo Y, Sasajima K, Shirota A. Seedling leiomyoma of the esophagus and esophagogastric junction zone. Hum Pathol 1981; 12: 1006-10.

  16. García Torres R, Cruz D, Orozco L, Heidet L, Gubler MC. Alport syndrome and diffuse leiomyomatosis. Clinical aspects, pathology, molecular biology and extracellular matrix studies. A synthesis. Nephrologie 2000; 21: 9-12.

  17. Guillem P, Delcambre F, Cohen-Solali L, Triboulet JP, Antignac C, Heidet L, et al. Diffuse esophageal leiomyomatosis with perirectal involvement mimicking Hirschsprung’s disease. Gastroenterology 2000; 120: 216-20.

  18. Rabushka LS, Fishman EK, Kuhlman JE, Hruban RH. Diffuse esophageal leiomyomatosis in a patient with Alport syndrome: CT demonstration. Radiology 1991; 179: 176-8.

  19. Izumi Y, Inoue H, Endo M. Combined endoluminal-intracavitary thoracoscopic enucleation of leiomyoma of the esophagus. A new method. Surg Endosc 1996; 10: 457-8.

  20. Mafune K, Tanaka Y. Thoracoscopic enucleation of an esophageal leiomyoma with balloon dilator assistance. Surg Today 1997; 27: 189-92.

>Journals >Cirujano General >Year 2002, Issue 3

· Journal Index 
· Links 

Copyright 2019