TY - JOUR
T1 - Two resected cases of esophageal leiomyoma diagnosed with preoperative endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNAB)
AU - Arakawa, Satoshi
AU - Ozawa, Soji
AU - Yoshida, Rie
AU - Atsuta, Koji
AU - Kawase, Jin
AU - Oshima, Hisanori
AU - Nagata, Hidetoshi
AU - Shiraishi, Tenzou
AU - Kawabe, Norihiko
AU - Umemoto, Shunji
AU - Mizoguchi, Yoshikazu
AU - Hatooka, Shunzo
PY - 2008/9
Y1 - 2008/9
N2 - Leiomyoma is the most common submucosal tumor of the esophagus, and accurate preoperative diagnosis is difficult. We report herein on two resected cases of esophageal leiomyoma preoperatively diagnosed accurately with endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNAB). The first patient, a 34-year-old man, had complained of dysphagia. Following EUS-FNAB, the pathological diagnosis was leiomyoma. Esophagectomy and reconstruction with a gastric tube were performed because the tumor had almost completely encircled the esophageal wall. The second patient, a 60-year-old woman, had complained of dysphagia. Following EUS-FNAB, the pathological diagnosis was leiomyoma. Enucleation of the tumor was performed because the tumor was not located in the entire circumference of the esophageal wall. The postoperative course of both patients was uneventful, and the final pathological diagnosis of each case was leiomyoma. We conclude that EUS-FNAB is a useful method for diagnosing esophageal submucosal tumors and for selecting an appropriate surgical procedure.
AB - Leiomyoma is the most common submucosal tumor of the esophagus, and accurate preoperative diagnosis is difficult. We report herein on two resected cases of esophageal leiomyoma preoperatively diagnosed accurately with endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNAB). The first patient, a 34-year-old man, had complained of dysphagia. Following EUS-FNAB, the pathological diagnosis was leiomyoma. Esophagectomy and reconstruction with a gastric tube were performed because the tumor had almost completely encircled the esophageal wall. The second patient, a 60-year-old woman, had complained of dysphagia. Following EUS-FNAB, the pathological diagnosis was leiomyoma. Enucleation of the tumor was performed because the tumor was not located in the entire circumference of the esophageal wall. The postoperative course of both patients was uneventful, and the final pathological diagnosis of each case was leiomyoma. We conclude that EUS-FNAB is a useful method for diagnosing esophageal submucosal tumors and for selecting an appropriate surgical procedure.
KW - EUS-FNAB
KW - Esophageal leiomyoma
KW - Esophageal submucosal tumor
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U2 - 10.1007/s10388-008-0157-9
DO - 10.1007/s10388-008-0157-9
M3 - Article
AN - SCOPUS:52149110183
SN - 1612-9059
VL - 5
SP - 149
EP - 154
JO - Esophagus
JF - Esophagus
IS - 3
ER -