Rendina E A, Venuta F, Pescarmona E O, Facciolo F, Francioni F, Di Tolla R, Ricci C
Department of Thoracic Surgery, Universitá di Roma La Sapienza, Italy.
Scand J Thorac Cardiovasc Surg. 1990;24(1):79-82. doi: 10.3109/14017439009101829.
Leiomyoma of the esophagus was surgically treated in 15 patients in 1962-1987. Six patients were asymptomatic and nine presented with dysphagia alone or combined with retrosternal pain, vague thoracic discomfort, dyspnea and cough, or palpitations. Barium swallow and esophagoscopy provided the correct diagnosis preoperatively in most cases. Transthoracic enucleation of the tumor was performed via right thoracotomy in nine patients and left thoracotomy in six. The location of tumor was the upper third of the thoracic esophagus in three cases, middle third in six and lower third in six cases. There was no surgical mortality or morbidity. Surgical removal of esophageal leiomyoma thus gave relief of symptoms, with minimal risk and excellent functional outcome.
1962年至1987年间，15例食管平滑肌瘤患者接受了手术治疗。6例患者无症状，9例仅表现为吞咽困难，或伴有胸骨后疼痛、胸部隐痛不适、呼吸困难、咳嗽或心悸。大多数病例中，钡餐造影和食管镜检查在术前做出了正确诊断。9例患者经右胸切口行肿瘤经胸摘除术，6例经左胸切口。肿瘤位于胸段食管上1/3者3例，中1/3者6例，下1/3者6例。无手术死亡或并发症。因此，手术切除食管平滑肌瘤可缓解症状，风险极小，功能预后良好。
