title: [Thoracotomy enucleation of a giant leiomyoma of the upper oesophagus. Case report and review of the literature].
abstract: The authors report on a case of fibro-leiomyoma of the upper oesophagus. The patient presented dysphagia and oppressive retrosternal pain. Computed tomography and magnetic resonance of the thorax revealed a solid voluminous formation at the level of the posterior upper mediastinum. The US-endoscopy showed that this was a tumour originating from the esophageal wall with macroscopic characteristics of benignity, suggestive of a leiomyoma. The patient was treated by thoracotomy enucleation of the large tumour after sectioning the azygous vein on the same side as the lesion. Histological examination of the surgical resection confirmed that the tumour was a fibro-leiomyoma of the esophagus with a conspicuous vascular component and an interstitial inflammatory focus. The patient now appears to be asymptomatic and illness-free.
authors.affiliation: VII Divisione di Chirurgia Generale, Facoltà di Medicina e Chirurgia, Seconda Università degli Studi di Napoli.
authors.forename: Giancarlo
authors.initials: G
authors.lastname: Candela
authors.forename: Sergio
authors.initials: S
authors.lastname: Varriale
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Di Libero
authors.forename: Antonio
authors.initials: A
authors.lastname: Maschio
authors.forename: Fiorenza
authors.initials: F
authors.lastname: Manetta
authors.forename: Marco
authors.initials: M
authors.lastname: Giordano
authors.forename: Anna
authors.initials: A
authors.lastname: Nunziata
authors.forename: Luigi
authors.initials: L
authors.lastname: Santini
mesh_terms: D004938:Esophageal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007889:Leiomyoma / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013906:Thoracoscopy; D013908:Thoracotomy / Q000379:methods; D016896:Treatment Outcome