Bandara Seeduwa, Pang Clifford, Pang Katherine, Tsao Ronald
Medicine and Pediatrics, University of California Los Angeles David Geffen School of Medicine, Los Angeles, USA.
Family Medicine, University of California Los Angeles David Geffen School of Medicine, Los Angeles, USA.
Cureus. 2025 Aug 4;17(8):e89349. doi: 10.7759/cureus.89349. eCollection 2025 Aug.
Leiomyomas are the most common benign mesenchymal tumors of the esophagus, and they account for nearly two-thirds of benign esophageal neoplasms. The leiomyomas of the esophagus present with numerous nonspecific symptoms and signs, including dysphagia, shortness of breath, anorexia, weight loss, chronic cough, and bowel obstruction. The patient in this case report presented with moderate to severe right upper quadrant pain and mild dysphagia, which initially prompted evaluation for hepatobiliary pathology. However, the subsequent imaging incidentally showed a tumor surrounding the middle and lower third esophagus. Endoscopic findings identified a large submucosal mass, and the fine needle aspiration (FNA) results confirmed leiomyoma, excluding leiomyosarcoma. Due to the size of the tumor, the patient underwent surgery with muscle-sparing thoracotomy. His recovery was uneventful, and no complications were reported during follow-up visits.
平滑肌瘤是食管最常见的良性间叶组织肿瘤，占食管良性肿瘤的近三分之二。食管平滑肌瘤表现出许多非特异性症状和体征，包括吞咽困难、呼吸急促、厌食、体重减轻、慢性咳嗽和肠梗阻。本病例报告中的患者表现为中度至重度右上腹疼痛和轻度吞咽困难，最初促使对肝胆疾病进行评估。然而，随后的影像学检查偶然发现肿瘤环绕食管中下段。内镜检查发现一个大的黏膜下肿块，细针穿刺抽吸（FNA）结果证实为平滑肌瘤，排除了平滑肌肉瘤。由于肿瘤大小，患者接受了保留肌肉的开胸手术。他恢复顺利，随访期间未报告并发症。
