Two Resected Cases of Giant Leiomyosarcoma of the Esophagus

Masayuki Matsumori, Takuro Okubo, Tomoichiro Mukai, Takuro Tsukube, Yoshihisa Watanabe, Toshihiro Omori, Tetsuya Ienaga, Hiroshi Sato, Akinori Sasada, Kazuo Nakamura

Second Department of Surgery, Kobe University School of Medicine

Leiomyosarcoma of the esophagus is a rare neoplasm, with only 95 cases having been reported in the literature. We report two resected cases of giant leiomyosarcoma of the esophgus. Patient 1, a 39-year-old male with multiple metastase of the right lobe of the liver, underwent resection of the thoracic and abdominal esophagus with lower lobectomy of the right lung via a right thoracotomy and a left thoraco-abdominal incision. The tumor measured 18 × 15 × 8 cm and weighed 1500 g. Forty days after the first operation, a extended right hepatic lobectomy was performed for hepatic metastasis. The patient was discharged from the hospital 20 days after the second operation and was doing well, but died one year after the second operation due to multiple mediastinal and liver metastase. Patient 2, a 46-year-old male, underwent resection of the lower thoracic esophagus with lower lobectomy of the left lung via a left thoraco-abdominal incision. The tumor measured 13 × 10 × 8 cm and weighed 800 g. The patients is currently doing well. The clinical features and surgical treatment of leiomyosarcoma of the esophagus are discussed.

Key words
leomyosarcoma of the esophagus

Reprint requests
Masayuki Matsumori Second Department of Surgery, Kobe University School of Medicine
7-5 Kusunoki-cho, Chuo-ku, Kobe-city, 650 JAPAN

Accepted
March 11, 1992

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