Esophageal leiomyoma in children: two case reports and review of the literature
Détails
ID Serval
serval:BIB_1CA0B99BA9C9
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Esophageal leiomyoma in children: two case reports and review of the literature
Périodique
Journal of Pediatric Surgery
ISSN
0022-3468 (Print)
Statut éditorial
Publié
Date de publication
10/1989
Volume
24
Numéro
10
Pages
1103-7
Notes
Case Reports
Journal Article
Review --- Old month value: Oct
Journal Article
Review --- Old month value: Oct
Résumé
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.
Mots-clé
Adolescent
Child
Esophageal Neoplasms/diagnosis/*surgery
Female
Humans
Leiomyoma/diagnosis/*surgery
Pubmed
Web of science
Création de la notice
28/01/2008 10:12
Dernière modification de la notice
20/08/2019 13:53