Endoscopy 2022; 54(S 01): S257
DOI: 10.1055/s-0042-1745313
Abstracts | ESGE Days 2022
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EUS OF A RARE PRIMARY MEDIASTINAL LEIOMYOMA

A. Altonbary
1   Mansoura University, Department of Gastroenterology and Hepatology, Mansoura, Egypt
,
H. Hakim
1   Mansoura University, Department of Gastroenterology and Hepatology, Mansoura, Egypt
,
M. El-Nady
2   Cairo University, Department of Gastroenterology and Hepatology, Cairo, Egypt
,
A. Abou-Elmagd
3   Armed Forces college of medicine, Department of Gastroenterology and Hepatology, Cairo, Egypt
,
W. Elkashef
4   Mansoura University, Department of Pathology, Mansoura, Egypt
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A 29-years-old male presented with a 2-month history of cough, Dyspnea. CT chest revealed large mediastinal mass compressing esophagus and aortic arch. On endoscopy, the mass was compressing the mid esophagus with healthy mucosa. On EUS examination, there was large well defined hypoechoic mediastinal mass with hyperechoic strands, measuring about 87x50 mm. EUS-FNB was done using 22G acquire needle by slow pull technique. Cytopathological examination with IHC revealed spindle cell proliferation with oval nuclei with positive cytoplasmic reaction for smooth muscle actin & Vimentin and negative for S100, B-catenin and Myogenin; consistent with leiomyoma. Patient was referred for surgical resection.



Publication History

Article published online:
14 April 2022

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