Esophageal leiomyoma
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Oesophageal leiomyoma is benign smooth-muscle neoplasm of the oesophagus. It is the most common benign tumor of the oesophagus1.
Epidemiology
It is most frequently seen in young and middle age groups (20-50 years).
Clinical presentation
- Small tumor (<5 cm): usually no symptoms.
- Large tumor: may cause dysphagia, regurgitation, oesophageal obstruction,chest pain, cough, bleeding (rare).
Radiographic features
Barium swallow
Discrete ovoid mass that is well outlined by barium. Its borders form slightly obtuse angels with oesophageal wall.
CT
Findings include:
- ovoid intramural solitary mass with smooth surface
- presence of calcifications is almost pathognomonic
- narrowing of oesophageal lumen
- may displace the oesophagus
- moderate diffuse contrast-enchancement
- no signs of invasion of adjacent tissue
Differential diagnosis
- oesophageal carcinoma
- mediastinal tumor
- oesophageal hamartoma
- foreign body
Treatment and prognosis
Prognosis is excellent.If If tumor is small (<5 cm) and asymtomatic treatment is unnecessary. Otherwise surgical enucleation is recommended.
See also
-</ul><h4>Treatment and prognosis</h4><p>Prognosis is excellent. <span style="line-height:1.6em">If tumor is small (<5 cm) and asymtomatic treatment is unnecessary. Otherwise surgical enucleation is recommended.</span></p>- +</ul><h4>Treatment and prognosis</h4><p>Prognosis is excellent. If tumor is small (<5 cm) and asymtomatic treatment is unnecessary. Otherwise surgical enucleation is recommended.</p><h4>See also</h4><ul><li><a title="oesophageal leiomyomatosis" href="/articles/oesophageal-leiomyomatosis">oesophageal leiomyomatosis</a></li></ul>
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