Giant Leiomyoma of the Oesophagus

Giant Leiomyoma of the Oesophagus

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Leiomyomas are rare benign tumours of the oesophagus that remain silent in more than 50% of the cases.Giant leiomyomas Digital Audio Video Cable 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 Soccer - Balls done followed by gastro-oesophageal anastomosis.Histopathologically, leiomyoma was confirmed.

The patient had a smooth postoperative recovery.