Surgical strategy in abnormally increased Fluorine-18 fluorodeoxyglucose uptake in an asymptomatic lower esophageal submucosal tumor – Report of a case

Abstract INTRODUCTION Leiomyoma is the most common benign tumor of the esophagus (67–80%), it represents 0.4–1% of all esophageal tumors. PRESENTATION OF CASE An incidentally discovered gastro-esophageal submucosal tumor was found to have increased fluorine-18-fluorodeoxyglucose (FDG) uptake on posi...

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Bibliographic Details
Published in:International journal of surgery case reports 2014-01, Vol.5 (9), p.589-593
Main Authors: Haddad, Johnny, Bouazza, Fikri, Baraké, Hassan, Liberale, Gabriel, Flamen, Patrick, Nakadi, Issam El
Format: Article
Language:English
Subjects:
Esophagus
Leiomyoma
Minimally invasive surgery
Positron-emission tomography
Surgery
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Summary:Abstract INTRODUCTION Leiomyoma is the most common benign tumor of the esophagus (67–80%), it represents 0.4–1% of all esophageal tumors. PRESENTATION OF CASE An incidentally discovered gastro-esophageal submucosal tumor was found to have increased fluorine-18-fluorodeoxyglucose (FDG) uptake on positron emission computed tomography (PET/CT). After laparoscopic surgical exploration and local enucleation the tumor turned out to be a benign esophageal leiomyoma. DISCUSSION There are few reports of esophageal leiomyomas with a positive uptake on (PET/CT) and even fewer adopting our combination of a minimally invasive approach and frozen section examination as a management plan. Our approach avoided excessive morbid surgical resections and underestimation of a malignant disease. CONCLUSION We report this case hoping to expand the existing literature on the topic and to highlight the limitations of PET/CT in guiding the diagnosis and subsequently the management of esophageal submucosal tumors.
ISSN:2210-2612
2210-2612
DOI:10.1016/j.ijscr.2014.06.013