Title: Gastrointestinal leiomyomas
- Marta Strutyńska-Karpińska, Witold Knast, Krystyna Markocka-Mączka, Jerzy Rabczyński
- Original articles
- Polish Gastroenterology
- Start page:
- Final page:
- leiomyoma, gastrointestinal tract
Introduction: Leiomyomas are defined as category of mesenchymal tumors. These rare tumors have been found mostly in the oesophagus and occasionally in the stomach, in the small and large intestine or in the rectum. The purpose of this article is to present our own experience in the surgical treatment of patients with gastrointestinal leiomyomas.
Material and methods: The paper presents 12 patients with gastrointestinal leiomyomas. In the presented group there were 4 women and 8 men aged between 30 and 79. The tumors were variously localized. In 8 patients tumor was locatedin the oesophagus, in 3 - in the stomach and in 1 - in the terminal partoftheileum. The course of the disease and symptoms were atypical. In the cases with oesophageal leiomyomas the most common symptoms were dysphagia, gastrointestinal bleeding - in patients with gastric tumors, and intus-susception - in patient with ileal tumor. Among 8 patients with oesophageal tumors 3 patients did not agree for surgery, in 2 cases - tumor was resected via thoracotomy, in 1 - through abdominal approach and in 2 cases - by endoscopic resection. In the cases with gastric tumors wedge gastric resection or partial gas-trectomy were performed and in the case with ileal tumor - right hemicolectomy. Immunohistochemically the tumors were positive for desmin and actin.
Results: Postoperative complications in the form of oesophageal fistula occurred in 1 case after surgical resection of the tumor. Patient was reoperated successfully. The remaining patients did not present postope-rative complications. Long-term follow-up showed good results after surgical treatment. Conclusions: In discussion the authors stress that surgery is the best treatment for leiomyomas. The type of surgical procedure depends on localization of tumor, sizeof tumor and possible complications.