Radiology Case Reports (Nov 2022)

Large incidental esophageal leiomyoma: Radiological findings

  • André Peixoto, MD

Journal volume & issue
Vol. 17, no. 11
pp. 4417 – 4420

Abstract

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Benign tumors of the esophagus are rare, the most common of them being leiomyomas. Malignant transformation is extremely rare, and they are often asymptomatic. Tumors larger than 5 cm frequently cause symptoms such as epigastric discomfort, heartburn, or dysphagia. We describe the case of a 57-year-old male with the presumptive diagnosis of esophageal leiomyoma, asymptomatic and incidentally discovered on a chest radiograph. The computerized tomography demonstrated an isodense and well-demarcated lesion from the esophagus, and the upper endoscopy confirmed an intact mucosa. The lesion has been stable for at least 6 years, and the patient remains asymptomatic.

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