An Esophageal Leiomyoma with Cystic Degeneration Mimicking a Malignant Neoplasm

Esophageal subepithelial tumors (SETs) are commonly encountered during screening endoscopy, and leiomyomas are the most common SET of the esophagus. Almost all patients with esophageal leiomyomas are asymptomatic; however, some present with dysphagia, depending on the size of the tumor and the exten...

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Main Authors: Gwang Ha Kim, Dong Chan Joo, Moon Won Lee, Bong Eun Lee, Kyungbin Kim
Format: Article
Language:English
Published: Ewha Womans University College of Medicine 2023-10-01
Series:The Ewha Medical Journal
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Online Access:http://www.e-emj.org/archive/view_article?pid=emj-46-4-19
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author Gwang Ha Kim
Dong Chan Joo
Moon Won Lee
Bong Eun Lee
Kyungbin Kim
author_facet Gwang Ha Kim
Dong Chan Joo
Moon Won Lee
Bong Eun Lee
Kyungbin Kim
author_sort Gwang Ha Kim
collection DOAJ
description Esophageal subepithelial tumors (SETs) are commonly encountered during screening endoscopy, and leiomyomas are the most common SET of the esophagus. Almost all patients with esophageal leiomyomas are asymptomatic; however, some present with dysphagia, depending on the size of the tumor and the extent to which it encroaches on the lumen. The typical endosonographic features of esophageal leiomyomas include well-demarcated, homogeneously hypoechoic lesions with echogenicity similar to that of the surrounding proper muscle layer, but without cystic changes. Histopathologically, esophageal leiomyomas do not undergo cystic or myxoid degeneration. This report presents a case involving a 65-year-old man with a symptomatic esophageal SET and endosonographic features indicative of malignant neoplasms, who was diagnosed with esophageal leiomyoma with cystic and myxoid degeneration following surgical resection.
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language English
publishDate 2023-10-01
publisher Ewha Womans University College of Medicine
record_format Article
series The Ewha Medical Journal
spelling doaj-art-5f62ff68b7ad43df93f9cce312066adb2024-12-16T08:43:16ZengEwha Womans University College of MedicineThe Ewha Medical Journal2234-25912023-10-0146410.12771/emj.2023.e19emj-46-4-19An Esophageal Leiomyoma with Cystic Degeneration Mimicking a Malignant NeoplasmGwang Ha KimDong Chan JooMoon Won LeeBong Eun LeeKyungbin KimEsophageal subepithelial tumors (SETs) are commonly encountered during screening endoscopy, and leiomyomas are the most common SET of the esophagus. Almost all patients with esophageal leiomyomas are asymptomatic; however, some present with dysphagia, depending on the size of the tumor and the extent to which it encroaches on the lumen. The typical endosonographic features of esophageal leiomyomas include well-demarcated, homogeneously hypoechoic lesions with echogenicity similar to that of the surrounding proper muscle layer, but without cystic changes. Histopathologically, esophageal leiomyomas do not undergo cystic or myxoid degeneration. This report presents a case involving a 65-year-old man with a symptomatic esophageal SET and endosonographic features indicative of malignant neoplasms, who was diagnosed with esophageal leiomyoma with cystic and myxoid degeneration following surgical resection.http://www.e-emj.org/archive/view_article?pid=emj-46-4-19endoscopic ultrasoundesophagusleiomyomamesenchymal tumors
spellingShingle Gwang Ha Kim
Dong Chan Joo
Moon Won Lee
Bong Eun Lee
Kyungbin Kim
An Esophageal Leiomyoma with Cystic Degeneration Mimicking a Malignant Neoplasm
The Ewha Medical Journal
endoscopic ultrasound
esophagus
leiomyoma
mesenchymal tumors
title An Esophageal Leiomyoma with Cystic Degeneration Mimicking a Malignant Neoplasm
title_full An Esophageal Leiomyoma with Cystic Degeneration Mimicking a Malignant Neoplasm
title_fullStr An Esophageal Leiomyoma with Cystic Degeneration Mimicking a Malignant Neoplasm
title_full_unstemmed An Esophageal Leiomyoma with Cystic Degeneration Mimicking a Malignant Neoplasm
title_short An Esophageal Leiomyoma with Cystic Degeneration Mimicking a Malignant Neoplasm
title_sort esophageal leiomyoma with cystic degeneration mimicking a malignant neoplasm
topic endoscopic ultrasound
esophagus
leiomyoma
mesenchymal tumors
url http://www.e-emj.org/archive/view_article?pid=emj-46-4-19
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