{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T20:36:14Z","timestamp":1774038974020,"version":"3.50.1"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2017,1,1]],"date-time":"2017-01-01T00:00:00Z","timestamp":1483228800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,3,6]],"date-time":"2017-03-06T00:00:00Z","timestamp":1488758400000},"content-version":"vor","delay-in-days":64,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION:<\/jats:title>\n                    <jats:p>We report a relatively rare case of esophageal leiomyoma in the upper thoracic esophagus enucleated by thoracoscopic procedures. The usefulness of preoperative diagnosis and an adequate surgical approach are described along with a review of the relevant literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PRESENTAION OF CASE:<\/jats:title>\n                    <jats:p>A submucosal tumor 45 mm in diameter was detected in the upper thoracic esophagus of a 69-year-old man. The tumor was preoperatively diagnosed from histopathological biopsy under endoscopic ultrasound-guided fine needle aspiration. Thoracoscopic enucleation was therefore preoperatively scheduled under the left decubitus position in consideration of the low risk of malignant disease. Histopathological diagnosis of the resected specimen was benign leiomyoma and patient outcomes were good.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION:<\/jats:title>\n                    <jats:p>The need for preoperative biopsy of esophageal submucosal tumor is a controversial issue. However, preoperative biopsy provided the benefits to decide the operative procedure or confirm adequate resection, and our experience suggested that preoperative biopsy did not adversely influence subsequent enucleation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Precise preoperative diagnosis is necessary to avoid excessive surgery when managing esophageal submucosal tumor.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2017.03.007","type":"journal-article","created":{"date-parts":[[2017,3,8]],"date-time":"2017-03-08T15:17:22Z","timestamp":1488986242000},"page":"49-55","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Thoracoscopic enucleation in the left decubitus position for leiomyoma of the upper thoracic esophagus"],"prefix":"10.1097","volume":"34","author":[{"given":"Mitsutoshi","family":"Ishii","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinsuke","family":"Takeno","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahiro","family":"Nishida","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Nanashima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshimasa","family":"Kubota","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Kawakami","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiko","family":"Umekita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yutaka","family":"Akiyama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-12-20260114","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1016\/j.ijsu.2016.08.014","article-title":"The SCARE statement: consensus-based surgical case report guidelines","volume":"34","author":"Agha","year":"2016","journal-title":"Int. J. Surg"},{"key":"R2-12-20260114","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1093\/ejcts\/ezu146","article-title":"Partial oesophagectomy for giant leiomyoma of the oesophagus: report of 7 cases","volume":"47","author":"De Giacomo","year":"2015","journal-title":"Eur. J. Cardiothorac. Surg"},{"key":"R3-12-20260114","first-page":"257","article-title":"Surgical therapy of esophageal leiomyoma","volume":"181","author":"Bonavina","year":"1995","journal-title":"J. Am. Coll. Surg"},{"key":"R4-12-20260114","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1007\/s00464-003-9130-9","article-title":"Enucleation of submucosal tumors of the esophagus: minimally invasive versus open approach","volume":"18","author":"Von Rahden","year":"2004","journal-title":"Surg. Endosc"},{"key":"R5-12-20260114","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1007\/s12094-007-0020-9","article-title":"Endoscopic treatment of oesophageal leiomyoma: four new cases","volume":"9","author":"Priego","year":"2007","journal-title":"Clin. Transl. Oncol"},{"key":"R6-12-20260114","doi-asserted-by":"crossref","first-page":"1551","DOI":"10.5833\/jjgs.42.1551","article-title":"Esophageal gastrointestinal stromal tumor\u2013incidence and prognosis after enucleation","volume":"42","author":"Nishimura","year":"2009","journal-title":"Jpn. J. Gastroenterol. Surg"},{"key":"R7-12-20260114","first-page":"7453259","article-title":"Video assisted thoracoscopic surgical enucleation of a giant esophageal leiomyoma presenting with persistent cough","volume":"2016","author":"Mujawar","year":"2016","journal-title":"Case Rep. Surg"},{"key":"R8-12-20260114","doi-asserted-by":"crossref","first-page":"3022","DOI":"10.3919\/jjsa.74.3022","article-title":"Laparoscopic-assisted excision of an esophageal leiomyoma","volume":"74","author":"Ieta","year":"2013","journal-title":"J. Jpn. Surg. Assoc"},{"key":"R9-12-20260114","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1016\/j.athoracsur.2013.10.030","article-title":"Enucleation of esophageal submucosal tumors: a single institution\u2019s experience","volume":"97","author":"Shin","year":"2014","journal-title":"Ann. Thorac. Surg"},{"key":"R10-12-20260114","first-page":"78","article-title":"Leiomyoma of esophagus","volume":"13","author":"Punpale","year":"2007","journal-title":"Ann. Thorac. Cardiovasc. Surg"},{"key":"R11-12-20260114","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1055\/s-0031-1291659","article-title":"Submucosal endoscopic tumor resection for subepithelial tumors in the esophagus and cardia","volume":"44","author":"Inoue","year":"2012","journal-title":"Endoscopy"},{"key":"R12-12-20260114","first-page":"323","article-title":"Surgical treatment of esophageal leiomyoma larger than 5 cm in diameter: a case report and review of the literature","volume":"4","author":"Sun","year":"2012","journal-title":"J. Thorac. Dis"},{"key":"R13-12-20260114","doi-asserted-by":"crossref","first-page":"47","DOI":"10.4103\/1817-1737.58960","article-title":"Thoracoscopic enucleation of esophageal leiomyoma in patient with MEN I syndrome","volume":"5","author":"Saleh","year":"2010","journal-title":"Ann. Thorac. Med"},{"key":"R14-12-20260114","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1002\/cncr.20360","article-title":"Diagnosis of gastrointestinal tract lesions by endoscopic ultrasound-guided fine-needle aspiration biopsy","volume":"102","author":"Vander Noot","year":"2004","journal-title":"Cancer"},{"key":"R16-12-20260114","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1159\/000382071","article-title":"Prone position is useful in thoracoscopic enucleation of esophageal leiomyoma","volume":"9","author":"Maki","year":"2015","journal-title":"Case Rep. Gastroenterol"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261217301360?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261217301360?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201734000-00012","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:49:16Z","timestamp":1768398556000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201734000-00012"}},"subtitle":["Utility of preoperative diagnosis applying endoscopic ultrasound-guided fine needle aspiration"],"short-title":[],"issued":{"date-parts":[[2017,1]]},"references-count":15,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2017.03.007","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2017,1]]}}}