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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| Veröffentlicht in: | International journal of surgery case reports 2014-01, Vol.5 (9), p.589-593 |
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| creator | Haddad, Johnny Bouazza, Fikri Baraké, Hassan Liberale, Gabriel Flamen, Patrick Nakadi, Issam El |
| description | 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. |
| doi_str_mv | 10.1016/j.ijscr.2014.06.013 |
| format | Article |
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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.</description><identifier>ISSN: 2210-2612</identifier><identifier>EISSN: 2210-2612</identifier><identifier>DOI: 10.1016/j.ijscr.2014.06.013</identifier><identifier>PMID: 25105772</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Esophagus ; Leiomyoma ; Minimally invasive surgery ; Positron-emission tomography ; Surgery</subject><ispartof>International journal of surgery case reports, 2014-01, Vol.5 (9), p.589-593</ispartof><rights>The Authors</rights><rights>2014 The Authors</rights><rights>Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.</rights><rights>2014 The Authors 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c580t-d82396994f357dcc35dd8522a63c98a902c4cc4854fea52e9cde18ee7049b0293</citedby><cites>FETCH-LOGICAL-c580t-d82396994f357dcc35dd8522a63c98a902c4cc4854fea52e9cde18ee7049b0293</cites><orcidid>0000-0002-5058-0993</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4201026/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S2210261214001448$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,3536,27903,27904,53769,53771,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25105772$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Haddad, Johnny</creatorcontrib><creatorcontrib>Bouazza, Fikri</creatorcontrib><creatorcontrib>Baraké, Hassan</creatorcontrib><creatorcontrib>Liberale, Gabriel</creatorcontrib><creatorcontrib>Flamen, Patrick</creatorcontrib><creatorcontrib>Nakadi, Issam El</creatorcontrib><title>Surgical strategy in abnormally increased Fluorine-18 fluorodeoxyglucose uptake in an asymptomatic lower esophageal submucosal tumor – Report of a case</title><title>International journal of surgery case reports</title><addtitle>Int J Surg Case Rep</addtitle><description>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.</description><subject>Esophagus</subject><subject>Leiomyoma</subject><subject>Minimally invasive surgery</subject><subject>Positron-emission tomography</subject><subject>Surgery</subject><issn>2210-2612</issn><issn>2210-2612</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNqFUt9q1jAUL6K4MfcEguTSm68madqvvXAgY1NhIDi9DvlOTrt0aVOTdNo738ErX88nMd03x_TGEMgJ-f0J53ey7DmjOaOsetXnpg_gc06ZyGmVU1Y8yg45Z3TDK8YfP6gPsuMQeppWweuK86fZAS8ZLbdbfpj9vJx9Z0BZEqJXEbuFmJGo3ej8oKxdb-BRBdTk3M7OmxE3rCbtWjuN7tvS2RlcQDJPUV3jLTvtsAxTdIOKBoh1X9ETDG66Uh2uVvNuWEmpjPPgPPn1_Qf5iJPzkbiWKALJ8Fn2pFU24PHdeZR9Pj_7dPpuc_Hh7fvTNxcbKGsaN7rmRVM1jWiLcqsBilLruuRcVQU0tWooBwEg6lK0qEqODWhkNeKWimZHeVMcZSd73Sn9CjXgmBph5eTNoPwinTLy75fRXMnO3UiRek95lQRe3gl492XGEOVgAqC1akQ3B8nKsqG0YZVI0GIPBe9C8Nje2zAq11xlL29zlWuuklYy5ZpYLx7-8J7zJ8UEeL0HYOrTjUEvAxgcAbXxCFFqZ_5jcPIPH6wZ16m4xgVD72Y_pggkk4FLKi_X0VoniwmaVERd_Ab5LM8U</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>Haddad, Johnny</creator><creator>Bouazza, Fikri</creator><creator>Baraké, Hassan</creator><creator>Liberale, Gabriel</creator><creator>Flamen, Patrick</creator><creator>Nakadi, Issam El</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-5058-0993</orcidid></search><sort><creationdate>20140101</creationdate><title>Surgical strategy in abnormally increased Fluorine-18 fluorodeoxyglucose uptake in an asymptomatic lower esophageal submucosal tumor – Report of a case</title><author>Haddad, Johnny ; Bouazza, Fikri ; Baraké, Hassan ; Liberale, Gabriel ; Flamen, Patrick ; Nakadi, Issam El</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c580t-d82396994f357dcc35dd8522a63c98a902c4cc4854fea52e9cde18ee7049b0293</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Esophagus</topic><topic>Leiomyoma</topic><topic>Minimally invasive surgery</topic><topic>Positron-emission tomography</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Haddad, Johnny</creatorcontrib><creatorcontrib>Bouazza, Fikri</creatorcontrib><creatorcontrib>Baraké, Hassan</creatorcontrib><creatorcontrib>Liberale, Gabriel</creatorcontrib><creatorcontrib>Flamen, Patrick</creatorcontrib><creatorcontrib>Nakadi, Issam El</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of surgery case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Haddad, Johnny</au><au>Bouazza, Fikri</au><au>Baraké, Hassan</au><au>Liberale, Gabriel</au><au>Flamen, Patrick</au><au>Nakadi, Issam El</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical strategy in abnormally increased Fluorine-18 fluorodeoxyglucose uptake in an asymptomatic lower esophageal submucosal tumor – Report of a case</atitle><jtitle>International journal of surgery case reports</jtitle><addtitle>Int J Surg Case Rep</addtitle><date>2014-01-01</date><risdate>2014</risdate><volume>5</volume><issue>9</issue><spage>589</spage><epage>593</epage><pages>589-593</pages><issn>2210-2612</issn><eissn>2210-2612</eissn><abstract>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.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>25105772</pmid><doi>10.1016/j.ijscr.2014.06.013</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-5058-0993</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Esophagus Leiomyoma Minimally invasive surgery Positron-emission tomography Surgery |
| title | Surgical strategy in abnormally increased Fluorine-18 fluorodeoxyglucose uptake in an asymptomatic lower esophageal submucosal tumor – Report of a case |
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