Murawa Dawid, Zieliński Paweł, Spychała Arkadiusz, Dyszkiewicz Wojciech
1 Ward of Surgical Oncology, Greater Poland Cancer Center, Poznań
Department of Thoracic Surgery, Poznan University of Medical Sciences, Poznań
Kardiochir Torakochirurgia Pol. 2014 Mar;11(1):79-82. doi: 10.5114/kitp.2014.41938. Epub 2014 Mar 27.
Oesophageal leiomyoma is a rare benign tumour of the oesophagus, which does not cause clinical symptoms in more than half of cases. Below we present the case of a symptomless oesophageal tumour. Due to the unequivocal result of imaging examinations and no histopathological diagnosis the patient was qualified for thoracotomy. During the operation the oesophageal tumour was suspected of passing through the hiatus into the abdominal cavity. The specimen revealed a neoplasm of mesenchymal origin without distinct traits of malignancy. The patient was admitted to the Surgical Department, where she was qualified for surgery, which was carried out by a team of surgeons and thoracic surgeons. The encapsulated tumour and oesophagus were resected. The histopathological and immunohistochemical examinations corres ponded to leiomyoma oesophagi. The lesion was radically resected. The size of the lesion was 22 × 14 × 13 cm. Three months after the surgery no traits of relapse were found.
食管平滑肌瘤是一种罕见的食管良性肿瘤，超过半数的病例无临床症状。以下我们介绍一例无症状食管肿瘤病例。由于影像学检查结果明确但尚无组织病理学诊断，该患者符合开胸手术指征。手术过程中怀疑食管肿瘤经裂孔进入腹腔。标本显示为间叶组织来源的肿瘤，无明显恶性特征。患者入住外科，经评估具备手术条件，由外科医生和胸外科医生组成的团队实施了手术。完整切除了包膜肿瘤及食管。组织病理学和免疫组化检查结果符合食管平滑肌瘤。病变被根治性切除。病变大小为22×14×13厘米。术后三个月未发现复发迹象。
