Uniportal Video-Assisted Thoracic Surgical Enucleation of a Giant Upper Esophageal Myxoid Leiomyoma: A Case Report

Yao X*, Li G, Song Y and Jiang L

Department of Thoracic Surgery, The Public Health Clinical Center of Chengdu, China

^*Correspondance to: Xiaojun Yao 

 PDF  Full Text DOI: 10.25107/2474-1647.3588

Abstract

Benign esophageal tumor is an uncommon disease of the esophagus. These tumors, often present as mediastinal lesions on Computed Tomography (CT) scans. Leiomyoma of the esophagus is the most common type of benign disease of the esophagus, and it usually occurs in the distal esophagus and/ or gastroesophageal junction. In contrast, leiomyoma in the upper esophagus is rare and challenging to treat. Here, we report on a 61-year-old female patient with giant (defined as >10 cm diameter) myxoid leiomyoma in the proximal esophagus. The patient experienced dysphagia and dyspnea for about 3 months. Uniportal Video-Assisted Thoracic Surgery (VATS) involving enucleation of the leiomyoma was performed, followed by primary suture of the esophagus. The patient recovered smoothly and was discharged 7 days after the operation. A diagnosis of myxoid leiomyoma of the esophagus was made based on the postoperative pathological results. Uniportal VATS could be a safe and effective treatment approach for this benign disease. Consideration should be given to the diagnosis of giant myxoid leiomyoma when patients present with dysphagia and dyspnea with a giant mediastinal mass in the upper mediastinum.

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Cite the article

Yao X, Li G, Song Y, Jiang L. Uniportal Video-Assisted Thoracic Surgical Enucleation of a Giant Upper Esophageal Myxoid Leiomyoma: A Case Report. Clin Surg. 2022; 7: 3588..