RESUMO
INTRODUCTION: Oesophageal leiomyoma is a rare tumour. The purpose of this paper is to describe the form of presentation, the approaches and the surgical technique, in five consecutive cases. MATERIAL AND METHOD: A retrospective analysis was performed on the data recorded prospectively on five consecutive patients operated on between 2003 and 2007. RESULTS: All the patients were seen due to dysphagia to solids. All were examined with contrast radiology, video-endoscopy and computed tomography, although 4 of them also had ultrasound endoscopy performed. The surgical technique was extra-mucosal enucleation, with 3 cases by thoracoscopy and 2 by thoracotomy. There were no complications. The immunohistochemistry study was negative for CD117 and CD34 in all cases. CONCLUSIONS: Enucleation of oesophageal leiomyomas by video-thoracoscopy is safe, well tolerated, and there is a rapid recovery, and is the procedure of choice for this benign tumour. Thoracotomy may be necessary in some presentations and locations.
Assuntos
Neoplasias Esofágicas , Leiomioma , Neoplasias Esofágicas/diagnóstico , Neoplasias Esofágicas/cirurgia , Feminino , Humanos , Leiomioma/diagnóstico , Leiomioma/cirurgia , Masculino , Pessoa de Meia-Idade , Estudos RetrospectivosAssuntos
Pessoa de Meia-Idade , Humanos , Masculino , Feminino , Adenocarcinoma , Carcinoma de Células Escamosas , Neoplasias Esofágicas/cirurgia , Alcoolismo/complicações , Caracteres Sexuais , Neoplasias Esofágicas/etiologia , Neoplasias Esofágicas/patologia , Seguimentos , Estadiamento de Neoplasias , Prognóstico , Estudos Retrospectivos , FumarRESUMO
Se define al adenocarcinoma primario del esófago basándose en los criterios de Raphael y Ellis. Se presentan 8 casos, 5 desarrollados sobre una metaplasia columnar de tipo intestinal con displasia severa, 2 carcinomas adenoquísticos desarrollados sobre epitelio pavimentoso con displasia severa y un adenoacantoma