Isolated cervical esophageal reconstruction for rare esophageal tumors

Marin, Vincent P.; Yu, Peirong; Weber, Randal S.

doi:10.1002/hed.20442

Cited by 11 publications

(4 citation statements)

References 11 publications

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“…Esophageal schwannomas are exceedingly rare with only a handful of cases reported in the literature [3]. A literature review performed for the past decade, 2005 -2015, revealed a total of 21 cases of which two cases were of concurrent esophageal schwannomas [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]. The surgical approaches to these include four thoracoscopic, six thoracotomy, five cervical approaches, and five esophagectomies or partial esophagectomies.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Enucleation of Schwannoma Masquerading as a Leiomyoma

2017

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We present a case, literature review, and video of a transabdominal laparoscopic enucleation of an esophageal schwannoma. A 53-yearold female with dysphagia was found to have a 23 × 27 mm mass in the lower esophagus, which was initially diagnosed as a leiomyoma on endoscopic ultrasound without biopsy. At the time of her laparoscopic enucleation 12 months later, the lesion had grown to 60 × 55 × 30 mm and was excised with a full-thickness segment of the esophageal wall, with closure of the resulting defect over a bougie. Postoperatively, the patient's recovery was complicated by an esophageal leak which was successfully managed with endoscopic drainage. Esophageal schwannomas are rare esophageal lesions that have historically been treated with esophagectomy. Thoracoscopic or laparoscopic enucleations of smaller lesions have been more recently reported but larger lesions have usually required open surgery. Internally placed endoscopic drains have previously been shown to be a valid alternative to external drainage in patients with contained collections after resection surgery. They have the advantage of allowing patients to continue oral fluids during the recovery phase rather than relying on enteral or parenteral feeding. We propose that laparoscopic transabdominal enucleation of esophageal schwannoma with closure of the resulting full-thickness defect be considered as an organ and function sparing alternative for the management of large lower esophageal schwannomas. We further propose that contained leaks resulting from esophageal operations can successfully be managed with internal endoscopic drainage.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic Enucleation of Schwannoma Masquerading as a Leiomyoma

2017

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“…To the best of our knowledge, only 11 cases have been reported in the literature, including our 2 cases (table ). [3][4][5][6][7][8][9][10][11] These patients included 4 males and 7 females, aged 10 to 65 years (mean: 45; median: 53). All 11 patients were symptomatic; the most common symptom was dysphagia.…”

Section: Discussionmentioning

confidence: 99%

“…6 However, in some cases, esophagectomy may be needed. 9 Because of the uncertainty of the preoperative diagnosis of an esophageal mesenchymal tumor, preparations for reconstruction should be made before surgery in every case of CES.…”

Section: Discussionmentioning

confidence: 99%

Primary Sinonasal Meningioma in a Child

et al. 2015

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Meningiomas are common intracranial extra-axial masses. They are rarely encountered in extracranial locations; when they are, the most common head and neck locations are the paranasal sinuses and the temporal bone. Meningiomas in children are very rare, especially in the neonatal period. The clinical presentation and clinical findings are often nonspecific. The diagnosis can be established by imaging and histopathologic examination with immunohistochemistry. We describe a case of primary sinonasal meningioma in a 2-year-old boy whose onset of symptoms had begun during the neonatal period. We discuss the clinical features, imaging results, and histopathologic and immunohistochemical findings in this case.

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“…44 For benign tumors, such as schwannomas and granular cell tumors, smaller margins are acceptable to preserve the larynx. However, reconstruction of isolated cervical esophageal defects can be challenging because the resection of a portion of the cricopharyngeus muscle increases the risk of reflux and aspiration.…”

Section: Cervical Esophageal Defects With An Intact Larynxmentioning

confidence: 99%