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Case Reports in Surgery
Volume 2013 (2013), Article ID 968394, 4 pages
http://dx.doi.org/10.1155/2013/968394
Case Report

Esophageal Gastrointestinal Stromal Tumor: Diagnostic Complexity and Management Pitfalls

1Second Department of Propedeutic Surgery, University of Athens, Medical School, “Laiko” General Hospital, Agiou Thoma 17, 11527 Athens, Greece
2First Department of Pathology, University of Athens, Medical School, 11527 Athens, Greece

Received 2 March 2013; Accepted 11 April 2013

Academic Editors: J. J. Andreasen and D. E. Jaroszewski

Copyright © 2013 Charalampos G. Markakis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Gastrointestinal stromal tumors of the esophagus are rare. Case Presentation. This is a case of a 50-year-old male patient who was referred to our department complaining of atypical chest pain. A chest computed tomographic scan and endoscopic ultrasound revealed a submucosal esophageal tumor measuring 5 cm in its largest diameter. Suspecting a leiomyoma, we performed enucleation via right thoracotomy. The pathology report yielded a diagnosis of an esophageal gastrointestinal stromal tumor. The patient has shown no evidence of recurrence one year postoperatively. Conclusions. This report illustrates the complexity and dilemmas inherent in diagnosing and treating esophageal GISTs.