Beji Hazem, Bouassida Mahdi, Kallel Yassine, Tormane Mohamed Amine, Mighri Mohamed Mongi, Touinsi Hassen
Department of General Surgery, Hospital Mohamed Taher Maamouri, Nabeul, Tunisia; University Tunis El Manar, Faculty of Medicine of Tunis, Tunisia.
Department of General Surgery, Hospital Mohamed Taher Maamouri, Nabeul, Tunisia; University Tunis El Manar, Faculty of Medicine of Tunis, Tunisia.
Int J Surg Case Rep. 2022 May;94:107078. doi: 10.1016/j.ijscr.2022.107078. Epub 2022 Apr 13.
Benign tumors represent less than 1% of esophageal neoplasms. Esophageal leiomyoma is a very rare tumor that arises from mesenchymal tissue. We present here a case of leiomyoma of the esophagus which was revealed by dysphagia and vomiting that was treated by surgical enucleation.
This report illustrates the case of a female who presented with dysphagia and vomiting. Imageology demonstrated an esophageal mass which was treated with surgical enucleation. Histopathology confirmed the diagnosis of leiomyoma.
Benign esophageal tumors are rare. Leiomyoma commonly presents as a single lesion in the middle or lower third of the esophagus. Leiomyomas located in the proximal and middle third of the esophagus can be operated on by right thoracotomy. Surgical treatment varies from enucleation to esophageal resection depending on the size and location of the mass. In our case, the tumor was enucleated by a right posterolateral thoracotomy.
Esophageal leiomyoma is a benign and generally asymptomatic tumor. Surgery is the pillar of treatment. Enucleation should be performed whenever possible to avoid esophagectomy and thus decrease morbidity and mortality.
良性肿瘤在食管肿瘤中占比不到1%。食管平滑肌瘤是一种非常罕见的起源于间叶组织的肿瘤。我们在此报告一例因吞咽困难和呕吐而发现的食管平滑肌瘤病例，该病例通过手术摘除进行治疗。
本报告阐述了一名出现吞咽困难和呕吐症状的女性病例。影像学检查显示食管有肿物，通过手术摘除进行治疗。组织病理学确诊为平滑肌瘤。
食管良性肿瘤较为罕见。平滑肌瘤通常表现为食管中下段的单个病变。位于食管中上段的平滑肌瘤可通过右胸切开术进行手术。根据肿物的大小和位置，手术治疗方式从摘除到食管切除不等。在我们的病例中，通过右后外侧胸切开术摘除了肿瘤。
食管平滑肌瘤是一种良性且通常无症状的肿瘤。手术是治疗的支柱。只要有可能，就应进行摘除以避免食管切除术，从而降低发病率和死亡率。
