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Updated: Mar 8, 2026
04:19
Robotic Enucleation of Esophageal Leiomyoma
Published on: February 20, 2026
230
Intramural esophageal tumors.
Mariusz P Łochowski1, Katarzyna Kozak1, Marek Rębowski1
1Clinic of Thoracic Surgery and Respiratory Rehabilitation, Medical University of Lodz, M. Copernicus Provincial Specialist Hospital, Lodz, Poland.
Summary
Intramural esophageal tumors (IET) are diverse benign and malignant growths. Accurate diagnosis requires histopathological confirmation for appropriate treatment planning.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Pathology
Background:
- Intramural esophageal tumors (IET) originate between the mucous membrane and muscularis mucosae.
- These tumors can present as benign or malignant conditions.
Purpose of the Study:
- To assess the diagnostic and therapeutic challenges associated with intramural esophageal tumors.
Main Methods:
- A review of 11 patients treated for IET between 2010-2015.
- Diagnostic methods included gastroscopy, CT scans, endoscopic ultrasound (EUS)-guided biopsy, and PET scans when needed.
- Treatment involved esophagectomy for malignant or large benign tumors and surgical enucleation for others.
Main Results:
- Diagnoses included gastrointestinal stromal tumor (GIST), adenocarcinoma, esophageal cysts, leiomyoma, schwannoma, and esophageal cancer.
- Histopathological confirmation post-operatively identified 6 leiomyomas, 1 schwannoma, 2 esophageal cysts, 1 GIST, and 1 esophageal cancer.
- Radiological findings suggested leiomyoma in 7 cases without definitive histopathological confirmation.
Conclusions:
- Intramural esophageal tumors represent a heterogeneous group with both benign and malignant potential.
- Histopathological confirmation is crucial for all IET cases.
- Treatment strategies for IET are dictated by tumor location, size, and confirmed histopathological type.
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