Complete Excision of Rare Esophageal Tumor; Leiomyosarcoma

Complete excision of leiomyosarcoma in the esophagus

Abstract

Leiomyosarcoma are rare malignant esophageal tumors that remain asymptomatic unless size exceeds 5 cm. They grow at a slow rate and in very few cases have metastasized by the time of their presentation. Here we present a case of a 65 year old male with progressive dysphagia and occasional dull chest pain for one and half years. Clinical examination was unremarkable. Computed tomography showed an 8 cm mass of the upper and middle thoracic esophagus with lateral wall thickness of 1.5 cm. Fat planes were intact with enlarged subcarinal nodes. Biopsy was suggestive of leiomyosarcoma and Mckeown esophagectomy was performed.  Intraoperatively mass was consistent with radiological findings , however was  adherent to surrounding structure with enlarged carinal nodes . Patient had an uneventful recovery period with histopathological evidence of complete recession of tumor