Atypically shaped esophageal leiomyoma mimicking lymphadenopathy

doi:10.5606/tgkdc.dergisi.2016.12656

Atila Türkyılmaz, Sami Karapolat, Kübra Nur Seyis, Celal Tekinbaş

Department of Thoracic Surgery, Medical Faculty of Karadeniz Teknik University, Trabzon, Turkey

DOI : 10.5606/tgkdc.dergisi.2016.12656

Leiomyoma is the most frequently seen benign tumor of the esophagus. In this article, we report a 41-year-old male patient with complaint of dysphagia. On computed tomography of the thorax, an image resembling a conglomerated lymph node measuring 3.5x2 cm was detected in the lower left paratracheal region. In the esophagoscopy, a submucosally localized mass was seen at 22^nd-24^th cm of the esophagus. The patient was taken under operation using a thoracoscopic technique and the mass was totally resected through enucleation. Esophageal leiomyoma may mimic mediastinal lymphadenopathy radiologically. For a minimally invasive procedure, thoracoscopic enucleation of these tumors should be the first applied method in surgical treatment.

Keywords : Esophagus; leiomyoma; lymphatic diseases; surgery; thoracoscopy

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