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LEIOMYOMA OF THE ESOPHAGUS

LEIOMYOMA OF THE ESOPHAGUS Abstract THE REMOVAL of benign tumors of the esophagus has now become a practical procedure because the accompanying surgical mortality and morbidity are minimal. Leiomyomas occur chiefly in the distal third of the esophagus. Because of their rarity, the difficulty in visualizing this esophageal area in roentgenograms, the presence of concomitant overshadowing lesions and the failure to perform esophagoscopic examination or interpret the findings properly, the correct diagnosis has been frequently missed. It is the purpose of this paper to summarize the pertinent literature and to report successful removal of leiomyomas of the esophagus in 2 cases. INCIDENCE About 200 case reports of esophageal benign tumors are on record.1 A wide variety of benign esophageal growths have been reported. Besides leiomyomas, authors have described adenoma,2 fibroma,3 hemangioma,4 lipomyoma,5 myoma,6 myxofibroma,7 neurofibroma,8 fibromyoma,1 papilloma,9 polyp10 and osteochondroma.11 These tumors occur References 1. Patterson, E. J.: Benign Neoplasms of the Esophagus , Pennsylvania M. J. 36:244-246, 1933. 2. Moersch, H. J., and Broders, A. C.: Adenoma of Esophagus , Arch. Otolaryng. 21:168-171 ( (Feb.) ) 1935.Crossref 3. Adams, R.: Fibroma of Esophagus: Case Report , Lahey Clin. Bull. 3:73-81, 1943. 4. Broders, A. C.; Vinson, P. P., and Davis, P. L.: Hemangioendothelioma of the Esophagus: Case Report , Arch. Otolaryng. 18:168-171 ( (Aug.) ) 1933.Crossref 5. Garretsen, W. T., and Hardie, G. C.: Another Case of Pedunculated Lipoma of the Esophagus , J. A. M. A. 90:1373-1374 ( (April 28) ) 1928.Crossref 6. Rose, J. D.: Myomata of the Esophagus , Brit. J. Surg. 24:297-308, 1936.Crossref 7. Patterson, E. J.: Benign Neoplasms of Esophagus: Report of Case of Myxofibroma , Ann. Otol., Rhin. & Laryng. 41:942-950, 1932. 8. Neurofibroma of the Esophagus, Cabot Case, no. 23491 , New England J. Med. 217:955-958, 1937. 9. Ginsburg, L.: Multiple Papillomas of Esophagus , Arch. Otolaryng. 14:570-574 ( (Nov.) ) 1931. 10. Dyke, S. C.: Benign Polyp of the Esophagus of Great Size , J. Laryng. & Otol. 42:588-592, 1927. 11. Reeves, E.: Osteochondroma of Esophagus: Removal Perorally with Aid of Speculum , Arch. Otolaryng. 29:151-158 ( (Jan.) ) 1939. 12. Moersch, H. J., and Harrington, S. W.: Benign Tumors of Esophagus , Ann. Otol., Rhin. & Laryng. 53:800-817, 1944. 13. Schafer, P. W., and Kittle, C. F.: Esophageal Leiomyoma: Report of Successful Resection , J. A. M. A. 133:1202-1205 ( (April 19) ) 1947. 14. Adams, R., and Hoover, W. B.: Benign Tumors of Esophagus , J. Thoracic Surg. 14:279-286, 1945. 15. Sauerbruch, F., and O'Shaughnessy, L.: Thoracic Surgery , William Wood & Company, 1937, pp. 332-333. 16. Ohsawa, T.: Surgery of the Esophagus , Arch. f. jap. Chir. 10:605-700, 1933. 17. Harrington, S. W., and Moersch, H. J.: Surgical Treatment and Clinical Manifestation of Benign Tumors of the Esophagus with Report of Seven Cases , J. Thoracic Surg. 13:394-414, 1944. 18. Harper, R. A. K., and Tiscenco, E.: Benign Tumor of Esophagus and Its Differential Diagnosis , Brit. J. Radiol. 18:99-107, 1945. 19. Calmenson, M., and Clagett, O. T.: Surgical Removal of Leiomyomas of Esophagus , Am. J. Surg. 72:745-747, 1946. 20. Harrington, S. W.: Surgical Treatment of Benign and Secondarily Malignant Tumors of the Esophagus , Arch. Surg. 58:646-661 ( (May) ) 1949. 21. Stephens, H. B.; Haroun, P., and Beckert, F. E.: Curare in Anesthesia for Thoracic Surgery , J. Thoracic Surg. 16:50-61, 1947. 22. Garlock, J. H.: The Surgical Treatment of Carcinoma of the Thoracic Esophagus , Surg., Gynec. & Obst. 70:556-569, 1940. 23. Kenworthy, R. A., and Welch C. S.: Leiomyoma of the Esophagus and Cardia of the Stomach , Surgery 23:745-752, 1948. 24. Melnick, P. J.: Metastasizing Leiomyoma of the Stomach , Am. J. Cancer 16:890-899, 1932. 25. Stewart, J. D., Jr.: Myoma of Esophagus with Associated Diverticula , Arch. Path. 12:77-84 ( (July) ) 1931. 26. Wolfson, S. A., and Goldman, A.: Strangulating Diaphragmatic Hernia of the Liver , Surgery 24:846-852, 1948. 27. Goldman, A.: Personal observation. 28. Morton, D. R., and Brunschwig, A.: Peptic Ulcer of Esophagus: Report of Patient with Ten Year Follow-Up , Gastroenterology 7:314-319, 1946. 29. French, L. R., and Garland, L. H.: Leiomyosarcoma of the Esophagus , Am. J. Roentgenol. 45:27-31, 1941. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

LEIOMYOMA OF THE ESOPHAGUS

Archives of Surgery , Volume 60 (3) – Mar 1, 1950

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Publisher
American Medical Association
Copyright
Copyright © 1950 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1950.01250010578012
Publisher site
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Abstract

Abstract THE REMOVAL of benign tumors of the esophagus has now become a practical procedure because the accompanying surgical mortality and morbidity are minimal. Leiomyomas occur chiefly in the distal third of the esophagus. Because of their rarity, the difficulty in visualizing this esophageal area in roentgenograms, the presence of concomitant overshadowing lesions and the failure to perform esophagoscopic examination or interpret the findings properly, the correct diagnosis has been frequently missed. It is the purpose of this paper to summarize the pertinent literature and to report successful removal of leiomyomas of the esophagus in 2 cases. INCIDENCE About 200 case reports of esophageal benign tumors are on record.1 A wide variety of benign esophageal growths have been reported. Besides leiomyomas, authors have described adenoma,2 fibroma,3 hemangioma,4 lipomyoma,5 myoma,6 myxofibroma,7 neurofibroma,8 fibromyoma,1 papilloma,9 polyp10 and osteochondroma.11 These tumors occur References 1. Patterson, E. J.: Benign Neoplasms of the Esophagus , Pennsylvania M. J. 36:244-246, 1933. 2. Moersch, H. J., and Broders, A. C.: Adenoma of Esophagus , Arch. Otolaryng. 21:168-171 ( (Feb.) ) 1935.Crossref 3. Adams, R.: Fibroma of Esophagus: Case Report , Lahey Clin. Bull. 3:73-81, 1943. 4. Broders, A. C.; Vinson, P. P., and Davis, P. L.: Hemangioendothelioma of the Esophagus: Case Report , Arch. Otolaryng. 18:168-171 ( (Aug.) ) 1933.Crossref 5. Garretsen, W. T., and Hardie, G. C.: Another Case of Pedunculated Lipoma of the Esophagus , J. A. M. A. 90:1373-1374 ( (April 28) ) 1928.Crossref 6. Rose, J. D.: Myomata of the Esophagus , Brit. J. Surg. 24:297-308, 1936.Crossref 7. Patterson, E. J.: Benign Neoplasms of Esophagus: Report of Case of Myxofibroma , Ann. Otol., Rhin. & Laryng. 41:942-950, 1932. 8. Neurofibroma of the Esophagus, Cabot Case, no. 23491 , New England J. Med. 217:955-958, 1937. 9. Ginsburg, L.: Multiple Papillomas of Esophagus , Arch. Otolaryng. 14:570-574 ( (Nov.) ) 1931. 10. Dyke, S. C.: Benign Polyp of the Esophagus of Great Size , J. Laryng. & Otol. 42:588-592, 1927. 11. Reeves, E.: Osteochondroma of Esophagus: Removal Perorally with Aid of Speculum , Arch. Otolaryng. 29:151-158 ( (Jan.) ) 1939. 12. Moersch, H. J., and Harrington, S. W.: Benign Tumors of Esophagus , Ann. Otol., Rhin. & Laryng. 53:800-817, 1944. 13. Schafer, P. W., and Kittle, C. F.: Esophageal Leiomyoma: Report of Successful Resection , J. A. M. A. 133:1202-1205 ( (April 19) ) 1947. 14. Adams, R., and Hoover, W. B.: Benign Tumors of Esophagus , J. Thoracic Surg. 14:279-286, 1945. 15. Sauerbruch, F., and O'Shaughnessy, L.: Thoracic Surgery , William Wood & Company, 1937, pp. 332-333. 16. Ohsawa, T.: Surgery of the Esophagus , Arch. f. jap. Chir. 10:605-700, 1933. 17. Harrington, S. W., and Moersch, H. J.: Surgical Treatment and Clinical Manifestation of Benign Tumors of the Esophagus with Report of Seven Cases , J. Thoracic Surg. 13:394-414, 1944. 18. Harper, R. A. K., and Tiscenco, E.: Benign Tumor of Esophagus and Its Differential Diagnosis , Brit. J. Radiol. 18:99-107, 1945. 19. Calmenson, M., and Clagett, O. T.: Surgical Removal of Leiomyomas of Esophagus , Am. J. Surg. 72:745-747, 1946. 20. Harrington, S. W.: Surgical Treatment of Benign and Secondarily Malignant Tumors of the Esophagus , Arch. Surg. 58:646-661 ( (May) ) 1949. 21. Stephens, H. B.; Haroun, P., and Beckert, F. E.: Curare in Anesthesia for Thoracic Surgery , J. Thoracic Surg. 16:50-61, 1947. 22. Garlock, J. H.: The Surgical Treatment of Carcinoma of the Thoracic Esophagus , Surg., Gynec. & Obst. 70:556-569, 1940. 23. Kenworthy, R. A., and Welch C. S.: Leiomyoma of the Esophagus and Cardia of the Stomach , Surgery 23:745-752, 1948. 24. Melnick, P. J.: Metastasizing Leiomyoma of the Stomach , Am. J. Cancer 16:890-899, 1932. 25. Stewart, J. D., Jr.: Myoma of Esophagus with Associated Diverticula , Arch. Path. 12:77-84 ( (July) ) 1931. 26. Wolfson, S. A., and Goldman, A.: Strangulating Diaphragmatic Hernia of the Liver , Surgery 24:846-852, 1948. 27. Goldman, A.: Personal observation. 28. Morton, D. R., and Brunschwig, A.: Peptic Ulcer of Esophagus: Report of Patient with Ten Year Follow-Up , Gastroenterology 7:314-319, 1946. 29. French, L. R., and Garland, L. H.: Leiomyosarcoma of the Esophagus , Am. J. Roentgenol. 45:27-31, 1941.

Journal

Archives of SurgeryAmerican Medical Association

Published: Mar 1, 1950

References