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Updated: Aug 15, 2026
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An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
[Operative removal of esophageal leiomyosarcoma: a case report]
T Fujikura1, T Koishizawa, N Hayashi
1Department of Thoracic and Cardiovascular Surgery, Kyorin University, School of Medicine, Tokyo, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|October 1, 1995
Summary
A 56-year-old man with dysphagia was diagnosed with a low-grade esophageal leiomyosarcoma. Surgical removal of the pedunculated tumor resulted in an uneventful recovery with no recurrence after 4 years.
Area of Science:
- Gastroenterology
- Thoracic Surgery
- Oncology
Background:
- Esophageal leiomyosarcoma is a rare tumor.
- Dysphagia can be a presenting symptom.
Observation:
- A 56-year-old male presented with dysphagia and a mediastinal mass.
- Imaging revealed a 5 cm cystic lesion in the posterior mediastinum.
- A pedunculated tumor connected to the esophageal muscle was identified during surgery.
Findings:
- Postoperative pathology confirmed low-grade esophageal leiomyosarcoma.
- The tumor was successfully removed with partial esophageal muscle resection.
- No esophagectomy was required.
Implications:
- This case highlights the successful surgical management of esophageal leiomyosarcoma.
- Organ-sparing surgery may be feasible for selected cases.
- Long-term surveillance is crucial for detecting recurrence.
