[Submucosal oesophageal tumours: diagnostics and treatment].
A submucosal oesophageal tumour consists of a submucosal oesophageal mass with normal overlying mucosa. Its broad differential diagnosis includes leiomyoma and gastro-intestinal stromal cell tumour. For a correct diagnosis and further management, an upper-gastrointestinal endoscopy and endosonography, together with a needle biopsy of the lesion for histology and for immunohistochemical analysis, are mandatory. Needle biopsies in tumours smaller than 2 cm are probably less reliable and in such cases, follow-up endoscopic ultrasonography is advised. We present two patients with submucosal oesophageal tumours and discuss their diagnostics and treatment plans.
Erasmus MC, Afd. Chirurgie, Rotterdam, the Netherlands. j.rothbarth@erasmusmc.nl
Joost
J
Rothbarth
C Kees
CK
Verhoef
Jan-Werner
JW
Poley
Katharina
K
Biermann
Jan J B
JJ
van Lanschot
Bas P L
BP
Wijnhoven
D000368:Aged; D001706:Biopsy; D003937:Diagnosis, Differential; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D019160:Endosonography / Q000379:methods*; D004938:Esophageal Neoplasms / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D007150:Immunohistochemistry; D008297:Male; D008875:Middle Aged