Introducere: Leiomioamele sunt tumori mezenchimale benigne rare, cu malignitate joasã, deseori asipmtomatice, descoperite
întamplãtor, dar care se pot complica brusc cu hemoragii masive. Din toate tumorile esofagului reprezintã 8%. Din neoplasmele
gastrice leiomiomul reprezintã 2,5%. Imunohistochimic sunt negative pentru c-kit, CD34, CD117, S 100. Sunt pozitive pentru
desmin æi actina a muæchilor netezi. La contrastare se prezintã ca un defect de umplere a pereretuli stomacal (semnul Schindler).
Calcificãri, hemoragie intratumoralã, degenerare cisticã sunt rare.Scopul lucrãrii. Analiza eficacitãții diagnosticului æi tratamentului
chirurgical a pacienåilor cu leiomiom esogastric.
Material si metode: În cadrul clinicii de chirurgie Nr 4 în perioada 2010-2020 de activitate au fost trataåi 6 pacienåi cu tumori benigne
rare esogastrice dintre care 3 cazuri de leiomiom gastric, 2 esofagiene, 1 jejunalã care au fost confirmate histologic. Asimptomatice
au fost 2 cazuri, cu dureri epigastrice – 1 caz, cu regurgitații postalimentare – 2 cazuri æi un caz complicat cu hemoragie gastrointestinalã.
Rezultate: Un pacient a suferit tratament chirurgical prin laparatomie, Videotoracoscopie – 1 pacient,Videotoracoscopie + conversie
la toracotomie 1 pacient, laparoscopic – 3 pacienåi. Evoluåia postoperatorie la toåi a decurs favorabil cu o durata scurtã de æedere la
cei operaåi prin abord laparoscopic. Complicații postoperatorii absente.
Concluzii: Tumorile de dimensiuni mari sunt mai susceptibile la asocieri de ulcerații ceea ce poate provoca hemoragii masive.
Abordul chirurgical în leiomiomul gastric este individualizat. Tratamentul miniminvaziv chirurgical reprezintã un “Gold-standard”.

Introduction: Leiomyomas are rare benign mesenchymal GI tumors, with low malignity, often asymptomatic, casually discovered,
but can suddenly result in massive hemorrhage. Out of all esophageal tumors, leiomyomas represent 8% and account for 2,5% of
all gastric neoplasms. In immunohistochemistry - negative for c-kit, CD34, CD117, S 100, positive for desmin and actin of the
smooth muscles. When contrasting it is presented as a filling defect of the gastric wall (Schindler sign). Calcification, intratumor
hemmorhage, cistyc degenerations are rare.Objective of the study. Analysis of the efficacy of diagnosis and surgical treatment of
patients with esogastric leiomyomas.
Material and Methods: In the Surgical department No 4 (2010-2020) there have been treated 6 patients with benign esogastric
tumors, of which 3 – gastric leiomyomas, 2 esophageal, 1 jejunal, histopathologicaly confirmed. Asymptomatic – 2 cases, with
epigastric pain – 1 case, with postprandial regurgitation – 2 cases, and one case complicated with gastrointestinal hemorrhage.
Results: Laparotomy was performed on one patient tradi, videothoracoscopy- 1 patient, videothoracoscopy + conversion to
thoracotomy - 1 patient, laparoscopy - 3 patients. Postoperative period was favorable for all, with a short stay in hospital for those
with laparoscopic approach. Postoperative complications were not detected.
Conclusions: Large tumors are more prone to ulcerations, that may result in severe hemorrhage. The surgical approach to each
patient is individual. The minimally invasive surgery represents the “Gold-standard” of treatment.