Incidental esophageal submucosal tumor detection by chest radiography: A case report

Tadano,Sosuke; Kondo,Tadashi; Watanabe,Muneaki; Takayashiki,Norio; Shiozawa,Toshihiro; Ohara,Gen; Kagohashi,Kastunori; Kurishima,Koichi; Satoh,Hiroaki

doi:10.3892/etm.2014.2008

Incidental esophageal submucosal tumor detection by chest radiography: A case report

Authors:
- Sosuke Tadano
- Tadashi Kondo
- Muneaki Watanabe
- Norio Takayashiki
- Toshihiro Shiozawa
- Gen Ohara
- Kastunori Kagohashi
- Koichi Kurishima
- Hiroaki Satoh
View Affiliations

Affiliations: Division of Surgery, Mito Medical Center, University of Tsukuba, Mito, Ibaraki 310‑0015, Japan, Division of Pathology, Mito Medical Center, University of Tsukuba, Mito, Ibaraki 310‑0015, Japan, Division of Respiratory Medicine, Mito Medical Center, University of Tsukuba, Mito, Ibaraki 310‑0015, Japan
Published online on: October 8, 2014 https://doi.org/10.3892/etm.2014.2008
Pages: 1831-1834

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )

Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )

Cited By (CrossRef): 0 citations Loading Articles...

Abstract

Esophageal submucosal tumors are occasionally detected incidentally during a gastrointestinal survey. In the present study, a case of esophageal leiomyoma is reported, which was incidentally detected by chest radiography during an annual survey of mass‑screening for lung cancer. The patient underwent a laparoscopic lower esophagectomy, a proximal gastrectomy and a gastric tube reconstruction. Macroscopic examination revealed a 50x40x28‑mm mass, while microscopic examination identified submucosal smooth muscle tissue without mitotic activity or necrosis. The tumor was diagnosed as an esophageal leiomyoma. The patient was asymptomatic during the three‑month follow‑up period. However, when a mass lesion adjacent to the gastrointestinal tract is detected during chest radiography, the possibility of a rare disease should be considered. Therefore, further investigation with upper gastrointestinal radiography and gastroendoscopy should be performed.

View Figures

View References

1	Shim CS, Lee JS, Kim JO, et al: A case of primary esophageal B-cell lymphoma of MALT type, presenting as a submucosal tumor. J Korean Med Sci. 18:120–124. 2003. View Article : Google Scholar : PubMed/NCBI
2	Montesi A, Pesaresi A, Graziani L, Salmistraro D, Dini L and Bearzi I: Small benign tumors of the esophagus: radiological diagnosis with double-contrast examination. Gastrointest Radiol. 8:207–212. 1983. View Article : Google Scholar : PubMed/NCBI
3	Kobayashi N, Kikuchi S, Shimao H, et al: Benign esophageal schwannoma: report of a case. Surg Today. 30:526–529. 2000. View Article : Google Scholar : PubMed/NCBI
4	De Rezende L, Lucendo AJ and Alvarez-Argüelles H: Granular cell tumors of the esophagus: report of five cases and review of diagnostic and therapeutic techniques. Dis Esophagus. 20:436–443. 2007.PubMed/NCBI
5	Aurea P, Grazia M, Petrella F and Bazzocchi R: Giant leiomyoma of the esophagus. Eur J Cardiothorac Surg. 22:1008–1010. 2002. View Article : Google Scholar : PubMed/NCBI
6	Peters JH and DeMeester TR: Esophagus and diaphragmatic hernia. Schwartz’s Principles of Surgery. Brunicardi FC, Andersen KD, Billiar RT, Dunn LD, Hunter GC and Pollock RE: 8th edition. McGraw-Hill; New York, NY: pp. 9062005
7	Jang KM, Lee KS, Lee SJ, et al: The spectrum of benign esophageal lesions: imaging findings. Korean J Radiol. 3:199–210. 2002. View Article : Google Scholar : PubMed/NCBI
8	Miettinen M, Sarlomo-Rikala M, Sobin LH and Lasota J: Esophageal stromal tumors: a clinicopathologic, immunohistochemical, and molecular genetic study of 17 cases and comparison with esophageal leiomyomas and leiomyosarcomas. Am J Surg Pathol. 24:211–222. 2000. View Article : Google Scholar
9	Miettinen M and Lasota J: Gastrointestinal stromal tumors - definition, clinical, histological, immunohistochemical, and molecular genetic features and differential diagnosis. Virchows Arch. 438:1–12. 2001. View Article : Google Scholar
10	Hatch GF 3rd, Wertheimer-Hatch L, Hatch KF, et al: Tumors of the esophagus. World J Surg. 24:401–411. 2000. View Article : Google Scholar : PubMed/NCBI
11	Priego P, Lobo E, Alonso N, Gil Olarte MA, Pérez de Oteyza J and Fresneda V: Surgical treatment of esophageal leiomyoma: an analysis of our experience. Rev Esp Enferm Dig. 98:350–358. 2006.(In English and Spanish).
12	Punpale A, Rangole A, Bhambhani N, et al: Leiomyoma of esophagus. Ann Thorac Cardiovasc Surg. 13:78–81. 2007.
13	Nishii K, Ueoka H, Kiura K, et al: A case-control study of lung cancer screening in Okayama Prefecture, Japan. Lung Cancer. 34:325–332. 2001. View Article : Google Scholar : PubMed/NCBI
14	Tsukada H, Kurita Y, Yokoyama A, et al: An evaluation of screening for lung cancer in Niigata Prefecture, Japan: a population-based case-control study. Br J Cancer. 85:1326–1331. 2001. View Article : Google Scholar : PubMed/NCBI
15	Kanashiki M, Tomizawa T, Yamaguchi I, et al: Volume doubling time of lung cancers detected in a chest radiograph mass screening program: Comparison with CT screening. Oncol Lett. 4:513–516. 2012.PubMed/NCBI
16	Masuda M and Kojima K: Japanese Social Security for the Elderly from a Viewpoint of Life Cycles. Review of Population and Social Policy. 10. National Institute of Population and Social Security Research; Tokyo: pp. 37–54. 2001
17	Mizutani E, Morita R and Kitamura S: Arteriovenous hemangioma in the middle mediastinum: report of a case. Surg Today. 41:846–848. 2011. View Article : Google Scholar : PubMed/NCBI
18	Yamashita R, Kosugi M, Kobayashi C, Toribatake Y, Kitano Y and Annen Y: A case of dumb-bell-like neurilemmoma of the posterior mediastinum. Nihon Kyobu Geka Gakkai Zasshi. 37:2001–2004. 1989.(In Japanese).
19	Dohba S, Kondoh M, Fujita H, et al: A case of 19th year pulmonary metastasis after radical mastectomy for breast cancer. Kyobu Geka. 53:1129–1132. 2000.(In Japanese).