A CASE OF ESOPHAGIAL LEIOMYOMA WITH REMARKABLE CALCIFICATION

Abstract

A case of esophageal leiomyoma with remarkable calcification is presented.
A 67-year-old man was admited to the hospital because of a remarkably calcified mass in the mediastinum on a chest X-ray film which was found during clinical observation for hypertension, Chest CT revealed a 3×3cm calcification covering from the anterior to left side wall of the esophagus and under the bifurcation of the trachea, and a portion of it looked like to protrude into the esophagial lumen. Esophagography visualized a clearly demarcated and elevated lesion with calcification. Endoscopy showed a protruding lesion about 4cm in diameter over the anterior wall of the esophagus. The tumor was found to originate from the esophageal submucosa without involvement of the mediastinal organ by endoscopic ultrasonography. Enuculeation of the tumor was performed. The resected material revealed a hard and clamp-like tumor, 4×2×1.5cm in size. The tumor was diagnosed as leiomyoma histologically.