title: Surgical strategy in abnormally increased Fluorine-18 fluorodeoxyglucose uptake in an asymptomatic lower esophageal submucosal tumor - Report of a case.
abstract: BACKGROUND
  Leiomyoma is the most common benign tumor of the esophagus (67-80%), it represents 0.4-1% of all esophageal tumors.
  
  
  METHODS
  An incidentally discovered gastro-esophageal submucosal tumor was found to have increased fluorine-18-fluorodeoxyglucose (FDG) uptake on positron emission computed tomography (PET/CT). After laparoscopic surgical exploration and local enucleation the tumor turned out to be a benign esophageal leiomyoma.
  
  
  CONCLUSIONS
  There are few reports of esophageal leiomyomas with a positive uptake on (PET/CT) and even fewer adopting our combination of a minimally invasive approach and frozen section examination as a management plan. Our approach avoided excessive morbid surgical resections and underestimation of a malignant disease.
  
  
  CONCLUSIONS
  We report this case hoping to expand the existing literature on the topic and to highlight the limitations of PET/CT in guiding the diagnosis and subsequently the management of esophageal submucosal tumors.
authors.affiliation: Clinic of Digestive Surgical Oncology, Jules Bordet Institute, Rue Héger-Bordet, 1, B-1000 Brussels, Belgium.
authors.forename: Johnny
authors.initials: J
authors.lastname: Haddad
authors.affiliation: Clinic of Digestive Surgical Oncology, Jules Bordet Institute, Rue Héger-Bordet, 1, B-1000 Brussels, Belgium.
authors.forename: Fikri
authors.initials: F
authors.lastname: Bouazza
authors.affiliation: Clinic of Digestive Surgical Oncology, Jules Bordet Institute, Rue Héger-Bordet, 1, B-1000 Brussels, Belgium.
authors.forename: Hassan
authors.initials: H
authors.lastname: Baraké
authors.affiliation: Clinic of Digestive Surgical Oncology, Jules Bordet Institute, Rue Héger-Bordet, 1, B-1000 Brussels, Belgium.
authors.forename: Gabriel
authors.initials: G
authors.lastname: Liberale
authors.affiliation: Nuclear Medicine Department, Jules Bordet Institute, Rue Héger-Bordet, 1, B-1000 Brussels, Belgium.
authors.forename: Patrick
authors.initials: P
authors.lastname: Flamen
authors.affiliation: Clinic of Digestive Surgical Oncology, Jules Bordet Institute, Rue Héger-Bordet, 1, B-1000 Brussels, Belgium. Electronic address: issam.elnakadi@bordet.be.
authors.forename: Issam El
authors.initials: IE
authors.lastname: Nakadi
keywords: Esophagus; Leiomyoma; Minimally invasive surgery; Positron-emission tomography
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