Complete Excision of Rare Esophageal Tumor; Leiomyosarcoma
Complete excision of leiomyosarcoma in the esophagus
Abstract
Leiomyosarcoma are rare malignant esophageal tumors that remain asymptomatic unless size exceeds 5 cm. They grow at a slow rate and in very few cases have metastasized by the time of their presentation. Here we present a case of a 65 year old male with progressive dysphagia and occasional dull chest pain for one and half years. Clinical examination was unremarkable. Computed tomography showed an 8 cm mass of the upper and middle thoracic esophagus with lateral wall thickness of 1.5 cm. Fat planes were intact with enlarged subcarinal nodes. Biopsy was suggestive of leiomyosarcoma and Mckeown esophagectomy was performed. Intraoperatively mass was consistent with radiological findings , however was adherent to surrounding structure with enlarged carinal nodes . Patient had an uneventful recovery period with histopathological evidence of complete recession of tumor
References
Pramesh CS, Pantvaidya GH, Moonim MT, Jambhekar NA, Sharma S, Deshpande RK. Leiomyosarcoma of the esophagus. Diseases of the Esophagus. 2003;16(2): 142-4. doi: 10.1046/j.1442-2050.2003.00298.x.
Weerakkody, Y. and Gilcrease-Garcia, B. (2016) ‘Oesophageal leiomyosarcoma’. Radiopaedia. Org. doi: 10.53347/rid-48657.
Rocco G, Trastek VF, Deschamps C, Allen MS, Miller DL, Pairolero PC. Leiomyosarcoma of the esophagus: results of surgical treatment. Ann Thorac Surg.1998; 66(3):894-6; discussion 897. doi:10.1016/s00034975(98) 00684-5.
Zhang BH, Zhang HT, Wang YG. Esophageal leiomyosarcoma: clinical analysis and surgical treatment of 12 cases. Dis Esophagus.2014;27(6):547-51. doi:10.1111/j.1442-2050.2012.01444.x.
Reddy V, Narasimhan M, Gunaraj A, Chiniwalar S, Ardhanari RA Leiomyosarcoma of Esophagus Report of Two Cases. JCR 2013;3:436-439. .doi.org/10. 17659/01.2013.0100
Hatch III GF, Wertheimer-Hatch L, Hatch KF, Davis GB, Blanchard DK, Foster Jr RS, et.al. Tumors of the esophagus. World J Surg.2000;24(4):401-11. doi: 10.1007/s002689910065.
Choh JH, Khazei AH, Ihm HJ. Leiomyosarcoma of the esophagus: report of a case and review of the literature. J Surg Oncol. 1986;32(4):223-6. doi: 10.1002/jso. 2930320409.PMID: 3736064.
Copyright (c) 2024 Annals of Jinnah Sindh Medical University
![Creative Commons License](http://i.creativecommons.org/l/by/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution 4.0 International License.