食道胃接合部に発生した全周性巨大平滑筋腫の１例

• 足立 淳

  岩国市医療センター医師会病院外科

• 得能 和久

  岩国市医療センター医師会病院外科

• 下田 宏二

  岩国市医療センター医師会病院外科

• 内山 哲史

  岩国市医療センター医師会病院外科

• 村上 卓夫

  岩国市医療センター医師会病院外科

書誌事項

タイトル別名

• A Case of Circular Giant Leiomyoma in the Esophagocardiac Junction.

抄録

We report a case of circular giant leiomyoma 13 cm in diameter in the esophagocardiac junction, and review the literature and 14 cases more than 8 cm in diameter in Japan, for which resection was indicated. A 45-year-old male US-resident pilot with hematemesis and melena was admitted to our department because upper GI series revealed a submucosal tumor in the lower esophagus. Endoscopy revealed a dumbbell-shaped elevated submucosal lesion from the lower esophagus to the cardiac region. On abdominal CT and MRI, the tumor showed a well-demarcated homogeneous pattern and no contrast effect. Under right thoracotomy and laparotomy, esophagocardiac resection was conducted with reconstraction by jejunal transfer. The tumor consisted of elastic, hard, and oval solid masses of all sizes, the largest measuring 13.0×8.0×5.0cm. A diagnosis of leiomyoma was made based on histopathological examination. He was discharged on postoperative day 15 and has gone back to work as a pilot.

収録刊行物

• 日本消化器外科学会雑誌

  日本消化器外科学会雑誌 34 (11), 1591-1595, 2001

  一般社団法人 日本消化器外科学会

キーワード

• leiomyoma in the esophagocardiac junction
• surgical therapy
• operation method

詳細情報

• CRID: 1390001204912695936
• NII論文ID: 130004343479
• NII論文ID: 110001344082
• NII書誌ID: AN00192066
• DOI: 10.5833/jjgs.34.1591
• ISSN: 13489372
• ISSN: 03869768
• Web Site: https://search.jamas.or.jp/link/ui/2002059199
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可