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DOI: 10.1055/s-2002-36065
Seltene familiäre Häufung solitärer Ösophagusleiomyome in Verbindung mit progressiver Nephropathie
Familial Leiomyoma of the Esophagus in Combination with NephropathyPublication History
Publication Date:
11 December 2002 (online)

Zusammenfassung
Diffuse ösophageale Leiomyomatosen in Verbindung mit X-chromosomal vererbter progressiver Nephropathie (Alport-Syndrom) werden in der Literatur vereinzelt beschrieben. Dagegen stellen solitäre Ösophagusleiomyome in diesem Kontext eine Rarität dar. Wir berichten über das Auftreten von solitären Leiomyomen und progressiver Alport-Nephropathie bei 5 Mitgliedern einer Familie, wobei Leiomyome in 4 Generationen derselben Familie auftraten. Zwei Familienangehörige wurden in unserer Klinik operiert. Heredität und Therapiestrategien werden diskutiert.
Abstract
Diffuse esophageal leiomyomatosis associated with X-chromosomal Alport-like nephropathy has been reported by various authors. However, solitary esophageal leiomyomas in combination with Alport-Syndrome are a rare disorder. We report on patients from 4 consecutive generations of one family. Five patients presented with a combination of a solitary leiomyoma and progressive nephropathy. Two of them were operated on at our department.
Schlüsselwörter
Ösophagus - Leiomyom - Nephropathie - Alport-Syndrom - Koloninterposition
Key words
Esophageal leiomyoma - nephropathy - alport-syndrome - colonic interposition
Literatur
- 1 Antignac C, Heidet L. Mutations in alport syndrome associated with diffuse esophageal leiomyomatosis. Contrib Nephrol. 1996; 117 172-182
- 2 Bonavina L, Segalin A, Rosati R, Pavanello M, Peracchia A. Surgical therapy of esophageal leiomyoma. J Am Coll Surg. 1995; 181 257-262
- 3 Bourque M D, Spigland N, Bensoussan A L, Collin P P, Saguem M H, Brochu P, Blanchard H, Reinberg O. Esophageal leiomyoma in children: two case reports and review of the literature. J Pediatr Surg. 1989; 24 1103-1107
- 4 Boye E, Mollet G, Forestier L, Cohen-Solal L, Heidet L, Cochat P, Grunfeld J P, Palcoux J B, Gubler M C, Antignac C. Determination of the genomic structure of the COL4A4 gene and of novel mutations causing autosomal recessive Alport syndrome. Amer J Hum Gen. 1998; 63 1329-1340
- 5 Cochat P, Guibaud P, Garcia Torres R, Roussel B, Guarner V, Larbre F. Diffuse leiomyomatosis in Alport syndrome. J Pediatr. 1988; 113 339-343
- 6 Cochat P, Guyot C, Antignac C, Pracros J P, Bouvier R, Chappuis J P, Gilbert-Barness E. Pathological case of the month. Alport syndrome and diffuse leiomyomatosis. Am J Dis Child. 1993; 147 791-792
- 7 DeMeester T R, Johansson K E, Franze I, Eypasch E, Lu C T, McGill J E, Zaninotto G. Indications, surgical technique, and long-term functional results of colon interposition or bypass. Ann Surg. 1988; 208 460-474
- 8 Garcia Torres R, Guarner V. Leiomyomatosis of the esophagus, tracheo-bronchi and genitals associated with Alport type hereditary nephropathy: a new syndrome. Rev Gastroenterol Mex. 1983; 48 163-170
- 9 Garcia Torres R, Orozco L. Alport-leiomyomatosis syndrome: an update. Am J Kidney Dis. 1993; 22 641-648
- 10 Heidet L, Boye E, Cai Y, Sado Y, Zhang X, Flejou J F, Fekete F, Ninomiya Y, Gubler M C, Antignac C. Somatic deletion of the 5’ ends of both the COL4A5 and COL4A6 genes in a sporadic leiomyoma of the esophagus. Amer J Pathol. 1998; 152 673-678
- 11 Heidet L, Cohen-Solal L, Boye E, Thorner P, Kemper M J, David A, Larget Piet L, Zhou J, Flinter F, Zhang X, Gubler M C, Antignac C. Novel COL4A5/COL4A6 deletions and further characterization of the diffuse leiomyomatosis-Alport syndrome (DL-AS) locus define the DL critical region. Cytogenet Cell Genet. 1997; 78 240-246
- 12 Heidet L, Dahan K, Zhou J, Xu Z, Cochat P, Gould J D, Leppig K A, Proesmans W, Guyot C, Guillot M, Eto T. Deletions of both alpha 5 (IV) and alpha 6 (IV) collagen genes in Alport Syndrome and in Alport syndrome associated with smooth muscle tumours. Hum Mol Gen. 1995; 4 99-108
- 13 Hodge G B. Esophageal leiomyoma associated with an epiphrenic diverticulum and hiatus hernia. Am Surg. 1970; 36 538-543
- 14 Lahteenmaki T, Pukander J, Isolauri J, Waris T. Pharyngo-oesophageal reconstruction with free jejunal transplants. New design of the upper anastomosis to improve monitoring of viability of transfer. Scand J Plast Reconstr Surg Hand Surg. 1992; 26 161-165
- 15 Lonsdale R N, Roberts P F, Vaughan R, Thiru S. Familial oesophageal leiomyomatosis and nephropathy. Histopathology. 1992; 20 127-133
- 16 Peracchia A, Ancona E, Ruol A, Bardini R, Segalin A, Bonavina L. Use of mini-invasive procedures in esophageal surgery. Chirurgie. 1992; 118 305-308
- 17 Rabushka L S, Fishman E K, Kuhlman J E, Hruban R H. Diffuse esophageal leiomyomatosis in a patient with Alport syndrome: CT demonstration. Radiology. 1991; 179 176-178
- 18 Rendina E A, Venuta F, Pesacarmona E O, Facciolo F, Francioni F, DiTolla R, Ricci C. Leiomyoma of the esophagus. Scand J Thorac Cardiovasc Surg. 1990; 24 79-82
- 19 Roussel B, Birembaut P, Gaillard D, Puchelle J C, D’Albignac G, Pennaforte F, Fandre M. Familial esophageal leiomyomatosis associated with Alport’s syndrome in a 9-year-old. Helv Paediatr Acta. 1986; 41 359-368
- 20 Schumpelick V, Dreuw B, Ophoff K, Fass J. Esophageal replacement - indications, technique, results. Leber Magen Darm. 1995; 25 21-26
- 21 Seremetis M G, Lyons W S, DeGuzman V C, Peabody J W. Leiomyomata of the esophagus. An analysis of 838 cases. Cancer. 1976; 38 2166-2177
- 22 Ueyama T, Guo K J, Hashimoto H, Daimaru Y, Enjoji M. A clinicopathologic and immunohistochemical study of gastrointestinal stromal tumors. Cancer. 1992; 69 947-955
- 23 Ullal S R. Hypertrophic osteoarthropathy and leiomyoma of the esophagus. Am J Surg. 1972; 123 356-358
- 24 Watson T J, Peters J H, DeMeester T R. Esophageal replacement for end-stage benign esophageal disease. Surg Clin North Am. 1997; 77 1099-1113
- 25 Yoshikane H, Tsukamoto Y, Niwa Y, Goto H, Hase S, Maruta S, Shimodaira M, Miyata A. The coexistence of esophageal submucosal tumor and carcinoma. Endoscopy. 1995; 27 119-123
- 26 Zhou J, Mochizuki T, Smeets H, Antignac C, Laurila P, de Paepe A, Tryggvason K, Reeders S T. Deletion of the paired alpha 5(IV) and alpha 6(IV) collagen genes in inherited smooth muscle tumors. Science. 1993; 261 1167-1169
Prof. Dr. Johannes Scheele
Friedrich-Schiller-Universität Jena Klinik für Allgemeine und Viszerale Chirurgie
Bachstraße 18
07740 Jena
Phone: 03641-934338
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