ÖZEFAGUS LEÝOMYOMU; OLGU SUNUMU

Sýklýkla özofagusun alt 1/3 kýsmýnda yerleþmiþ, tek ve sýnýrlarý düzgün submukozal kitleler olarak karþýmýza çýkan leiomyomlar, benign özofagus tümörleri arasýnda en sýk görülenidir. Ýntramural çevre dokulara basý yapacak ya da lümeni týkayacak boyutlara gelmedikçe asemptomatiktir. Yavaþ büyüyen tümörün kabul edilen tedavisi cerrahi enükleasyondur. Yaklaþýk iki yýldýr devam eden katý yiyecekleri yerken aðrý þikayeti olan altmýþ yedi yaþýndaki erkek hastada klinik ve radyolojik tetkikleri sonrasýnda, özefagusun 33 ve 37 cm leri arasýnda submukozal lezyon izlendi. Cerrahi olarak enükleasyonu yapýlan iyi sýnýrlý 7 cm lik tümörün kati patolojisi gastrointestinal stromal tümörleiomyom olarak raporlandý. Lezyon, nadir görülmesi nedeniyle tetkik ve tedavi basmaklarý irdelenerek, literatür eþliðinde sunulmuþtur.

ESOPHAGEAL LEIOMYOMA: CASE REPORT

Leiomyomas, submucosal masses commonly encountered as solitary lesions with regular margins located in the proximal one third of the esophagus, are the most common benign tumors of the esophagus. Widely accepted treatment of asymptomatic lesion is surgical enucleation unless the slow growing tumor enlarges enough to compress the neighboring intramural tissues or occlude the lumen. A 67-year-old male patient presented with the complaint of pain while swallowing solid food for two years, and the clinical and radiological studies revealed a submucosal lesion from 33 cm to 37 cm in esophagus. Pathological examination of a 7- cm tumor with well-defined margins which was surgically enucleated was reported as gastrointestinal stromal tumor-leiomyoma. Due to rare occurrence of the lesion, testing and treatment steps were discussed and presented together with the current literature.