[Diagnosis and treatment of esophageal leiomyoma].
OBJECTIVE
To summarize the experience of diagnosis and treatment of esophageal leiomyoma.


METHODS
Clinical data of 52 patients with esophageal leiomyoma were analyzed from 1993 to 2002.


RESULTS
About 54% patients in this group had difficulty of food intake. The diagnostic accuracy of gastrointestinal barium meal series, computed tomography, gastric endoscope and endoscopic ultrasonography (EUS) for esophageal leiomyoma was 64% 44% 27% and 90% respectively. All patients received operation, resection of esophageal leiomyoma by videothoracoscopy (VAS) and endoscope were performed in 6, 9 patients respectively. The remaining 37 patients received regular open operation,in whom 32 cases received enucleation of esophageal leiomyoma, 5 cases received partial esophageal resection and esophageal-gastric anastomosis. No serious complications occurred except only one case needed operation again because of bleeding.


CONCLUSIONS
EUS is an effective method for diagnosing esophageal leiomyoma. VAS and endoscopic treatment should be considered for suitable cases in order to reduce the trauma.
Zheng
Ru-heng
RH
Department of Thoracic Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
Feng
Ming-xiang
MX
Ge
Di
D
Hou
Ying-yong
YY
D004938:Esophageal Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007889:Leiomyoma / Q000000981:diagnostic imaging* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013906:Thoracoscopy; D014463:Ultrasonography