Giant Leiomyoma of the Oesophagus
Published: April 1, 2017 | DOI: https://doi.org/10.7860/JCDR/2017/24206.9565
Dhamodaran Kandasamy, Niyas Ahamed, Sujatha Kannan, Vasundaran Samuel
1. Professor, Department of Cardiothoracic Surgery, Government Stanley Medical College, Chennai, India.
2. Postgraduate, Department of General Surgery, Government Stanley Medical College, Chennai, India.
3. Associate Professor, Department of Anatomy, Government Stanley Medical College, Chennai, India.
4. Assistant Professor, Department of Cardiothoracic Surgery, Government Stanley Medical College, Chennai, India.
Correspondence
Dr. Niyas Ahamed,
93, Eb Colony, Khajamalai, Trichy-620023, Tamil Nadu, India.
E-mail: niyasdr@yahoo.co.in
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.
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