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Primary role of EUS, CT, and Esophagoscopy in Diagnosing Multiple Giant Leiomyoma of the Esophagus: a Literature Review

Author: Massoud Sokouti, Mohsen Sokouti, Babak Sokouti

Category: JMSR Gastroenterology


Multiple leiomyoma is a rare benign esophageal disorder which is capable of producing severe complications. The aim of this study is to review the case reports of multiple leiomyomas reported in the English language literature in order to increase the awareness of this entity in producing dysphagia and respiratory complications. To our knowledge, six cases of patients with multiple leiomyoma have been described. The major complaints were dysphagia, dyspnea, cough and other respiratory symptoms; pseudoachlasia was rarely reported. Chest X rays, computed tomography (CT) scan and endoscopic ultrasonography (EUS) were useful as diagnostic tools. CT scan demonstrated homogenous or is of attenuation on the lesions. EUS was accurate in visualization of the lesions and showing exact locations of the mass in the esophageal wall. All of the patients were diagnosed prior to surgery. In the current study, one case from our department is also presented; thoracic CT scan, upper gastroscopy and EUS findings were in favor of benign multiple leiomyoma. EUS, thoracic CT scan and upper endoscopy should be strongly considered for preoperative workup in those patients due to the high diagnostic accuracy rates.

Keywords: Esophagus, Giant Leiomyoma, Multiple, Benign Tumor.


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