Presentation
Dysphagia.
Patient Data
Semilunar smooth filling defect is present at junction of mid & distal oesophagous, most consistent with a submucosal mass.
There is a smoothly marginated oval soft-tissue mass, which arises from right wall of lower oesophagus, displaces the oesophagus, and narrows the lumen without sign of invasion. Punctate calcifications are noted within the mass. No lymphadenopathy.
Case Discussion
Typical appearance of oesophageal leiomyoma (pathology proven), a benign smooth muscle neoplasm which may occur in the oesophagus. It is the most common benign tumour of the oesophagus and typically involve the mid-to-distal oesophagus.