| Esophageal leiomyoma in children: two case reports and review of the literature. | |
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MedLine Citation:
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PMID: 2681658 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Leiomyoma of the esophagus is not uncommon in the adult population but is rarely seen in children; only 20 cases have been reported in the pediatric population. In this paper we describe two cases of esophageal leiomyoma in female patients aged 6 and 13 years and review previous reports. Several differences were noted between the pediatric and adult population. The mean age in children is 14 years (range, 4 to 20 years). Leiomyoma appears 1.71 times more often in females than in males. Localized lesions are found in only 9%, whereas the diffuse form predominates in 91%. The entire esophagus may be involved 35% of the time, and encroachment on the cardia or upper stomach occurs in 70%. Leiomyomas associated with familial syndromes (familial leiomyoma and Alport's syndrome) occur in 22% of the cases. Major symptoms include dysphagia (86%), dyspnea (36%), vomiting (27%), retrosternal pain (27%), and coughing (22%). The initial diagnosis following contrast studies is most often achalasia. The diagnosis of leiomyoma is made only with subsequent endoscopy. Enucleation was performed in only 11% of the cases; surgical resection (including part of the stomach) was necessary in 78% with a 21% postoperative mortality. Esophageal leiomyoma should be considered in the differential diagnosis of mediastinal masses and esophageal obstruction. Accurate preoperative diagnosis is desirable in order to plan proper surgical treatment. |
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Authors:
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M D Bourque; N Spigland; A L Bensoussan; P P Collin; M H Saguem; P Brochu; H Blanchard; O Reinberg |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Journal of pediatric surgery Volume: 24 ISSN: 0022-3468 ISO Abbreviation: J. Pediatr. Surg. Publication Date: 1989 Oct |
Date Detail:
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Created Date: 1989-12-20 Completed Date: 1989-12-20 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 0052631 Medline TA: J Pediatr Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1103-7 Citation Subset: IM |
Affiliation:
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Department of Surgery, Hôpital Ste-Justine, Montreal, Quebec, Canada. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Child Esophageal Neoplasms / diagnosis, surgery* Female Humans Leiomyoma / diagnosis, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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