Tülay DİKEN ALLAHVERDİ, Neşet KÖKSAL, Barlas SÜLÜ, Turgut ANUK, Yusuf GÜNERHAN

Özofagusun leiomyomaları

davi yapılan altı hastanın sunumudur. Gereç ve Yöntem: Epidemiyolojik veri, semptomlar, diagnostik, muayeneler, yerleşim, histopatolojik bulgular ve cerrahi rezeksiyonun sonuçları değerlendirildi. Bulgular: Ortalama yaşı kırkdokuz olan iki erkek ve dört kadın ameliyat edildi. Üç olguda leiomyoma özofagusun orta bölümünde yerleşirken, üç vakada tümör alt özofagus yerleşimliydi. Beş hastada disfaji gibi leiomyoma ilişkili semptomlar vardı. Üç hastada lezyona enükleasyon sağ posterolateral torakotomi ile yapıldı. İki hastada laparotomi ile enükleasyon uygulandı. Bir hasta endoskopik mukozal rezeksiyon ile tedavi edildi. Ortalama rezeke edilen tümör çapı 4 cm idi. Hiçbir olguda malignite ve metastaz saptanmadı. Postoperatif morbidite ve mortalite saptanmadı. Tartışma: Özofagus leiomyoma için cerrahi enükleasyon güvenli, etkili olarak düşünüldü. Endoskopik submukozal rezeksiyon küçük boyutlu özofageal leiomyomalı bazı hastalar için uygulanabilir ve minimal invaziv tedavi yöntemi olarak görünmektedir.

Anahtar Kelimeler:

Leiomyoma, özofagus, enükleasyon, endoskopik submukozal rezeksiyon

Leiomyomas of esophagus

Background and Aims: Leiomyomas of the esophagus are the most frequent benign tumors of esophagus. The aim of this study is to describe 6 patients with esophageal leiomyomas who underwent surgical treatment during a 18-month period. Materials and Methods: Epidemiological data, symptoms, diagnostic examinations, location, histopathological findings and the results of surgical resection were assessed. Results: Two men and 4 women, mean age of 49 years, underwent surgery. In 3 cases the tumor was located in the lower esophagus, while in the other 3 cases, the leiomyoma was found at the middle part of esophagus. Five patients had symptoms related to the leiomyoma such as dysphagia. Three patients underwent a right postolateral thoracotomy with enucleation of the lesion. Two patients underwent laparatomy with enucleation of the lesion. One patient was treated by endoscopic submucosal resection (EMR). The mean diameter of the resected tumors were 4 cms. No cases of malignancy or recurrence was detected. Postoperative morbidity and mortality did not occur. Conclusion: Surgical enucleation is considered as a safe and effective procedure for esophageal leiomyoma. Endoscopic submucosal resection appears to be a feasible and minimally invasive treatment for some patients with little esophageal leiomyomas.

Keywords:

Leiomyoma, esophagus, enucleation, endoscopic submucosal resection,

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