1995 Volume 56 Issue 1 Pages 59-64
A case of esophageal leiomyoma with remarkable calcification is presented.
A 65-year-old man was admitted to the hospital, because esophagography on a health screening demonstrated extraesophageal compression and deformity of the esophagus. Endoscopy showed a protruding lesion, 3cm in diameter, in the anterior wall of the esophagus under the bifurcation of the trachea. Esophagography and computed tomography showed a massive calcification in the lesion. With endoscopic ultrasonography a tumor originating from the proper muscular layer of the esophagus was suspected. Enucleation of the tumor was performed. The resected specimen was a hard and saddle-like tumor, 4×3×1.5cm in size. Histological findings revealed leiomyoma.
Nine of 20 cases of calcified leiomyoma of the esophagus reported in Japan were characterized by the location in the anterior wall of the esophagus near the bifurcation of the trachea.