Leiomyoma of the Esophagus

• Most common benign tumor of esophagus

• Usually asymptomatic

•May produce dysphagia or hematemesis if large

• Occurs in young males

• Found most often in distal third of esophagus

X-Ray

• Intramural

• May have coarse calcifications (only calcifying esophageal tumor)

• Smooth, well-defined mass

• Narrowing of lumen in one plane and widening in 90° plane

• Rarely ulcerates

• May enhance on CT

WH/92