LEIOMYOMA OF OESOPHAGUS A BRIEF REVIEW DR. L. GANAPATHIRAM RESIDENT DEPT OF GENERAL SURGERY G.K.N.M. HOSPITAL COIMBATORE:641 037 INDIA

LEIOMYOMA OF OESOPHAGUS INCIDENCE MOST COMMON BENIGN TUMOUR OF OESOPHAGUS 6 % OF G.I. LEIOMYOMAS 2.4 % - MULTIPLE ORIGIN MORE COMMON IN MALES THAN FEMALES - 1.9 : 1 AGE : 12 - 80 YEARS.AVERAGE : 44 YEARS

LEIOMYOMA OF OESOPHAGUS LOCATION UPPER THIRD ............................. 11 % MID THIRD ............................. 33 % LOWER THIRD ............................. 56 % INTRAMURAL ............................. 97 % MEDIASTINAL ............................. 1 % MEDIASTINAL OUTGROWTH .. 2 %

LEIOMYOMA OF OESOPHAGUS PATHOLOGY SIZE .............................. 2 - 5 cm ( AVERAGE) FEW GIANT > 1 kg. MULTIPLE TUMOURS ...... 2.4 % CALCIFIED ENCAPSULATED ................ 1.8 %

LEIOMYOMA OF OESOPHAGUS PATHOLOGY - GROSS FIRM IN CONSISTENCY SMOOTHLY ROUNDED BOSSELATED C/S - GREYISH WHITE / YELLOWISH ENCAPSULATED BUT CAPSULE NOT PROMINENT

LEIOMYOMA OF OESOPHAGUS PATHOLOGY - MICROSCOPY BUNDLES OF SMOOTH MUSCLE FIBRES INTERLACED WITH FIBROUS TISSUE LOW / ABSENT MITOTIC ACTIVITY MALIGNANT TRANSFORMATION RARE

LEIOMYOMA OF OESOPHAGUS SYMPTOMS > 50 % ASYMPTOMATIC DYSPHAGIA - LONG TERM PROGRESSIVE INTERMITTENT VAGUE CHEST PAIN - LEFT SIDED PYROSIS

LEIOMYOMA OF OESOPHAGUS SYMPTOMS HAEMORRHAGE - EROSION OF MUCOSA - RARE. < 10 CASES REPORTED

LEIOMYOMA OF OESOPHAGUS INVESTIGATIONS BARIUM SWALLOW SMOOTH,CRESCENT DEFECT IN THE CONTOUR OF O’PHAGUS LUMEN OESOPHAGOSCOPY TO ASCERTAIN THE STATUS OF MUCOSA .SMOOTH BULGE INTO THE LUMEN. NOT TO BE BIOPSIED .

LEIOMYOMA OF OESOPHAGUS INVESTIGATIONS CT SCAN AORTOGRAPHY MAINLY FOR LESIONS AROUND AORTIC ARCH

LEIOMYOMA OF OESOPHAGUS ASSOCIATED DISEASES HIATUS HERNIA O’PHAGEAL DIVERTICULUM CARCINOMA OF O’PHAGUS / STOMACH

LEIOMYOMA OF OESOPHAGUS ASSOCIATED DISEASES CARCINOMA OF LUNG / THYMUS LEIOMYOMA OF OTHER ORGANS HYPERTROPHIC OSTEOARTHROPATHY

LEIOMYOMA OF OESOPHAGUS MANAGEMENT SURGERY TRANSTHORACIC ENUCLEATION PREFERRED (R) THORACOTOMY - FOR UPPER & MID THIRD (L) THORACOTOMY - FOR LOWER THIRD

LEIOMYOMA OF OESOPHAGUS MANAGEMENT SURGERY OESOPHAGEAL RESECTION FOR LARGE TUMOURS FOR ENCIRCLING TUMOURS

LEIOMYOMA OF OESOPHAGUS MANAGEMENT SURGERY ENDOSCOPIC ENUCLEATION NO MAJOR ROLE ONLY FOR PEDUNCULATED & POLYPOID LESIONS DANGERS OF PERFORATION

LEIOMYOMA OF OESOPHAGUS PROGNOSIS EXCELLENT NO REPORT OF LEAK NO REPORT OF RECURRENCE

LEIOMYOMA OF OESOPHAGUS REFERENCES Leiomyomata of Esophagus - An analysis of 838 cases. Seremetis et al. Cancer 38:2166-2177 1976. Leiomyoma of Oesophagus. S.Muralidharan et al. Ind J Surg 41:52-53,1979. Multiple Leiomyomas of Esophagus. Taylor et al. Ann Thor Surg 60:182 - 183,1995