A summary of esophageal leiomyoma

Esophagus rare benign tumor, accounting for all of the esophageal tumor from 0.5 to 0.8. As a result of minor symptoms or asymptomatic, patients often do not seek medical attention or ignored by clinicians. In recent years, due to the X-ray inspection and other technological advances and found that the case has gradually increased to 90% of esophageal leiomyoma. Esophageal leiomyoma originated from esophageal muscle inherent to the main longitudinal muscle, most of the food in the wall, that wall in the mucous membrane type. Individual convex into the inner lumen was polypoid, and the pedicle wall connected to food, from the mouth of the Ou Chu report, these patients may Ou Chu in the respiratory tract caused by suffocation when the plug. Esophageal cancer can occur at any site, home to the middle of most reports, under the second paragraph, at least in the preceding paragraph, in the cervical little, as a result of cervical esophagus by involuntary muscle composition, in the belly of the paragraph is not more difficult to distinguish from Esophageal or cardiac muscle. Most of the tumor as single, multiple, with only about 2% to 3%, from more than 2-10 range, the literature has also referred to diffuse esophageal disease fibroids. Tumor size, 2 ~ 5cm of the most common, the removal of a small sample to 0.5cm × 0.4cm × 0.4cm, up to 17cm × 10cm × 6cm, in order to balance the weight of the smallest 0.25g, most of the 5000g. Leiomyoma diagnosis must take into account the possibility of esophageal cancer in order to rule out the identification. Esophagoscopy avoid inspection line mucosal biopsy to avoid injury and mucosal adhesion and tumor, after surgery to remove hampered. Desirable effect choose surgery, trauma and less complications outside the mucous membrane of tumor surgery, the issue should not be part of the esophageal surgery.