식도의 평활근종 보고

Leiomyoma of the esophagus is a rare smooth muscle tumor. Authors report a case of leiomyoma of the esophagus diagnosed by the esophagogram, chest C-T, esophagoscopy and histologically. The patient was 32-year old male, and complained of nausea, vomiting and substernal discomfort 1 week before admission. The esophagogram revealed crescent-like smooth filling defect through upper to middle one third of the esophagus, but the mucosal folds were intact. Chest C-T showed well defined solid mass in posterior portion of the esophagus. Esophagoscopy revealed normal mucosal patterns with swollen hard protruded lesion from the 25 cm to the 30 cm level from the upper incisors. L'horacntomy was performed at right 4th intercostal space, and a firm 4.8x2.2x1.8cm sized mass was enucleated by blunt dissection without any injury of the mucosa of the esophagus. The diagnosis of leiomyoma was confirmed with histopathological findings.