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Two resected cases of esophageal leiomyoma diagnosed with preoperative endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNAB)

Authors
  • Arakawa, Satoshi1
  • Ozawa, Soji1
  • Yoshida, Rie1
  • Atsuta, Koji1
  • Kawase, Jin1
  • Oshima, Hisanori1
  • Nagata, Hidetoshi1
  • Shiraishi, Tenzou1
  • Kawabe, Norihiko1
  • Umemoto, Shunji1
  • Mizoguchi, Yoshikazu2
  • Hatooka, Shunzo3
  • 1 Fujita Health University, Ban Buntane Houtokukai Hospital, Department of Surgery, School of Medicine, 3-6-10 Otobashi, Nakagawa-ku, Nagoya, 454-8509, Japan , Nagoya (Japan)
  • 2 Fujita Health University, Ban Buntane Houtokukai Hospital, Department of Pathology, School of Medicine, Aichi, Japan , Aichi (Japan)
  • 3 Aichi Cancer Center Hospital, Department of Thoracic Surgery, Aichi, Japan , Aichi (Japan)
Type
Published Article
Journal
Esophagus
Publisher
Springer Japan
Publication Date
Sep 18, 2008
Volume
5
Issue
3
Identifiers
DOI: 10.1007/s10388-008-0157-9
Source
Springer Nature
Keywords
License
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Abstract

Leiomyoma is the most common submucosal tumor of the esophagus, and accurate preoperative diagnosis is difficult. We report herein on two resected cases of esophageal leiomyoma preoperatively diagnosed accurately with endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNAB). The first patient, a 34-year-old man, had complained of dysphagia. Following EUS-FNAB, the pathological diagnosis was leiomyoma. Esophagectomy and reconstruction with a gastric tube were performed because the tumor had almost completely encircled the esophageal wall. The second patient, a 60-year-old woman, had complained of dysphagia. Following EUS-FNAB, the pathological diagnosis was leiomyoma. Enucleation of the tumor was performed because the tumor was not located in the entire circumference of the esophageal wall. The postoperative course of both patients was uneventful, and the final pathological diagnosis of each case was leiomyoma. We conclude that EUS-FNAB is a useful method for diagnosing esophageal submucosal tumors and for selecting an appropriate surgical procedure.

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