Abstract
Leiomyoma is the most frequent submucosal tumor of the esophagus. But esophageal leiomyomas associated with calcification are rare. A 66-year-old man was admitted to the department because of an abnormal lesion on his esophagogram at a physical check-up. Esophagoscopy showed a protruding lesion in the middle of thoracic esophagus and it was diagnosed as leiomyoma by a bowling biopsy. Esophagography and a chest CT scan visualized pronounced calcification in the tumor.
Thoracoscopic enucleation of the leiomyoma of the esophagus was performed. Intraoperative findings showed that the tumor was situated in the submucosal layer. It was resected and the defect was closed with layer to layer. The resected specimen was 4×1.5cm in size and on the section, almost part of the tumor was occupied with yellowish white calcification. Histological diagnosis was leiomyoma. Thoracoscopic resection was found to be useful for the enuclealation of leiomyoma associated with calcification.
