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Case Reports
. 2017 Apr;11(4):PD07-PD08.
doi: 10.7860/JCDR/2017/24206.9565. Epub 2017 Apr 1.

Giant Leiomyoma of the Oesophagus

Dhamodaran Kandasamy  1 , Niyas Ahamed  2 , Sujatha Kannan  3 , Vasundaran Samuel  4
Affiliations
Case Reports

Giant Leiomyoma of the Oesophagus

Dhamodaran Kandasamy et al. J Clin Diagn Res. 2017 Apr.

Abstract

Leiomyomas are rare benign tumours of the oesophagus that remain silent in more than 50% of the cases. Giant leiomyomas measuring more than 5 cm are very rare. A 47-year-old female presented with chest pain, cough and dysphagia for two months. Imaging studies were indicative of a 12.1x11.9 cm mass lesion in the distal oesophagus, CT guided biopsy confirmed leiomyoma. The patient being taken up for surgery was found to have a 20x19x17 cm irregular lobulated and encapsulated mass lesion arising from distal oesophagus encapsulating submucosally. En bloc resection of the tumour along with distal oesophagus with a clearance of 4 cm above and below the oesophagogastric junction was done followed by gastro-oesophageal anastomosis. Histopathologically, leiomyoma was confirmed. The patient had a smooth postoperative recovery.

Keywords: Benign tumour; Oesophageal leiomyoma; Resection.

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Figures

[Table/Fig-1]:
[Table/Fig-1]:
CECT chest.
[Table/Fig-2]:
[Table/Fig-2]:
Tumour in the thoracic cavity.
[Table/Fig-3]:
[Table/Fig-3]:
Perioperative image showing the resected margins.
[Table/Fig-4]:
[Table/Fig-4]:
Primary intrathoracic oesophago-gatric anastomosis.
[Table/Fig-5]:
[Table/Fig-5]:
(a,b) The excised specimen.
[Table/Fig-6]:
[Table/Fig-6]:
Postoperative barium meal study.
[Table/Fig-7]:
[Table/Fig-7]:
(a,b) Histopathology - Leiomyoma.
See this image and copyright information in PMC

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