Histopathological examination of the specimen confirmed leiomyoma. The patient was followed up for 12 months, with no recurrence of symptoms. The vast majority of tumors of the esophagus are malignant. Although leiomyomas of the esophagus are the most common benign esophageal tumor, they are still rare. They arise from the smooth muscles of the esophagus and are frequently located in the lower third of the esophagus.
Some patients remain asymptomatic.
The most frequent symptoms are dysphagia, retrosternal pain and heartburn. Barium swallow and esophagoscopy are usually diagnostic. Leiomyomas are typically rounded swellings, bulging into the lumen of the esophagus with regular outline and smooth intact mucosa. Contrast CT scan of the chest is helpful in demonstrating the lesion, as well as excluding radiological evidence of malignancy. In our patient, barium swallow, endoscopy and CT scan of chest were all diagnostic of leiomyoma.