title: Video Assisted Thoracoscopic Surgical Enucleation of a Giant Esophageal Leiomyoma Presenting with Persistent Cough.
abstract: Esophageal leiomyoma is a relatively rare tumor of esophagus but it is the most common benign neoplasm of the esophagus. Small esophageal leiomyoma can be observed but larger ones and those producing symptoms should be excised. As observed for other esophageal tumors, dysphagia is its main symptom. Traditionally, open thoracotomy and enucleation are its main treatment but in the last few years video assisted thoracoscopic surgical (VATS) enucleation is gaining recognition with proven advantages of minimally invasive surgery. Herein we present our experience with patient presenting with cough rather than dysphagia as a main symptom, who was diagnosed to be having giant esophageal leiomyoma. VATS guided enucleation was accomplished successfully. Size of lesion was 16 × 4 × 3 cm. Postoperative recovery was uneventful and patient is not having any signs of recurrence, after three years during follow-up period.
authors.affiliation: Government Cancer Hospital, Aurangabad, India.
authors.forename: Parvez
authors.initials: P
authors.lastname: Mujawar
authors.affiliation: Department of General Surgery, SBH Government Medical College, Dhule, India.
authors.forename: Tushar
authors.initials: T
authors.lastname: Pawar
authors.affiliation: Asian Institute of Oncology, Mumbai, India.
authors.forename: Rahulkumar Narayan
authors.initials: RN
authors.lastname: Chavan