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Weekly Chest CasesArchive of Old Cases

Case No : 661 Date 2010-06-30

  • Courtesy of Sang Min Lee, Chang Hyun Lee / Seoul National University Hospital
  • Age/Sex 44 / F
  • Chief ComplaintDysphagia for 3 weeks
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4
  • Figure 5
  • Figure 6

Diagnosis With Brief Discussion

Diagnosis
Pedunculated esophageal leiomyoma
Radiologic Findings
Figs 1. Chest PA shows increased mass-like opacity in the midline mediastinum at the subcarinal level.
Figs 2. Esophagogram shows polypoid mass with long stalk which is originated from the upper esophagus.
Figs 3-6. Mediastinal setting of chest CT scan shows well defined soft tissue mass pedunculated from the upper esophagus.
Brief Review
Benign tumors of the esophagus are rare lesions that constitute less than 1% of esophageal neoplasms. Nearly two thirds of benign esophageal tumors are leiomyomas; the others are mostly polyps and cysts. Leiomyomas are the commonest benign mesenchymal tumors of the esophagus. Most tumors described as leiomyomas and leiomyosarcomas in the older medical literature actually refer to gastrointestinal stromal tumors (GISTs). Leiomyoma is a term used only in relation to tumors of the esophagus.The significance of knowing about leiomyomas is due to the fact that it can mimic esophageal cancer and lead to diagnostic confusion.
References
1. Punpale A, Rangole a, Bhambhani N, Karimundackal G, desai N, Souza A, et al. Leomyoma of esophagus. Ann Thorac Cardiovasc Surg 2007;13:78-81.
2. Levine MS, Buck JL, Pantongrag-Brown L, Buetow PC, Hallman JR, Sobin LH. Fibrovascular polyps of the esophagus: clinical, radiographic, and pathologic findings in 16 patients. AJR 1996; 166:781-787.
3. HR Lee, HS Kim, JH Park, JS Cho, DH Kang, CH Lee. Intraluminal pedunculated leiomyoma in the cervical esophagus; case report. Korean J Thorac Cardiovasc Surg 2002;35:621-625.
Keywords
Esophagus, Benign tumor,

No. of Applicants : 112

▶ Correct Answer : 58/112,  51.8%
  • - Goa Medical College , India Paresh Desai
  • - Catholic medical center , Korea (South) HyunA Kim
  • - Inha University Hospital , Korea (South) Ju Won Lee
  • - kyungpook national university hospital , Korea (South) jiwon park
  • - Severance Hospital , Korea (South) Kyung-eun Kim
  • - Virgin Mary Hospital Burgas , Bulgaria VLADISLAV RUSINOV
  • - radiologist, aditya imaging centre , India vivek patel
  • - Vitalife Clinics , Pune , India. , India Rahul Deshmukh
  • - sunder lal jain hospital , India sanjeev vachher
  • - Youngdong Hospital , Korea (South) Sang Min Lee
  • - Ondokuz Mayis University , Turkey Cetin Celenk
  • - Yonsei University College of Medicine, Shinchon Severance hospital , Korea (South) Young Joo Suh
  • - University of British Columbia , Canada Amr Ajlan
  • - UZ GASTHUISBERG , Belgium Johan COOLEN
  • - CHU NANCY , France, Metropolitan GREGORY LESANNE
  • - CNUH , Korea (South) Seoin Jeong
  • - Chonnam university hospital , Korea (South) Minyoung Jung
  • - chonnam national university , Korea (South) Byung Hyun Baek
  • - chonnam national university hospital , Korea (South) Park seo yeon
  • - CNUH , Korea (South) Hyedoo Jung
  • - Apollo Gleneagles hosp kolkata , India SALIM PARVEZ
  • - IRSA Rochefort , France Viviane Pages
  • - Chonnam National University , Korea (South) se hee Jung
  • - Chonnam university hospital , Korea (South) LEE HYUN
  • - NTUH , Taiwan Kuei-pin Chung
  • - Aba Prefecture People Hospital竊ŒSichuan Maerkang竊Œchina , China pu peng
  • - NIMS , India HARSHA KR
  • - KMC,Manipal , India satish maddukuri
  • - SAISEIKAI KURIHASHI HOSPITAL , Japan YASUO OOKUBO
  • - JIPMER , India vijay murugesan
  • - Samsung Medical Center , Korea (South) Hee Young Lee
  • - BVMC , India Abhishek Yashod
  • - seoul national university hospital , Korea (South) Ijin Joo
  • - Paramount Diagnostic & Research Centre , India Mahavir Swami
  • - clinique de SAVOIE , France, Metropolitan gay-depassier philippe
  • - Louisiana State University - Shreveport , United States Carlos Previgliano
  • - kovai medical centre , India k bhaskar
  • - booali , Iran sirwan akhgar
  • - Seoul national university hospital , Korea (South) A Jung Chu
  • - MEDANTA - THE MEDICITY, GURGAON , India Anubhav Khandelwal
  • - Osaka University , Japan Hiromitsu Sumikawa
  • - Medical insurance organisation , Egypt Mohamed Farouk
  • - SMG-SNU boramae medical center , Korea (South) Kwang Nam Jin
  • - EKH-Berlin , Germany Michael Weber
  • - ROK air force aerospacemedical center , Korea (South) Daekeon Lim
  • - Retd. Prof Thoracic Surgery B.J.MEDIDCAL COLLEGE Punr India , India Bankim Amin
  • - Cairo University , Egypt Mamdouh Eissa
  • - Chonnam National University Hospital , Korea (South) Jung Kim
  • - Russia , Saudi Arabia jehad alakabani
  • - NDMVP Nashik , India Imran Jindani
  • - Kasturba Medical College , India Chandan Kakkar
  • - Vital Imaging Centre, Mumbai,India , India Ganesh Agrawal
  • - NASA SCANS new delhi , India RAKESH BHATIA
  • - jaslok hospital & research centre mumbai , India JAINENDRA JAIN
  • - Chonnam national university hospital , Korea (South) Jang-hyeon Song
  • - Hospital , Canada Fabrice Bing
  • - Department of Radiology, Chonnam National University Hospital , Korea (South) Hyungjun Kim
  • - Chonnam national univ. hospital , Korea (South) ChoiSeulGi
▶ Correct Answer as Differential Diagnosis : 47/112,  42.0%
  • - Osaka University , Japan Osamu Honda
  • - Uzunkopru Devlet Hastanesi , Turkey Armagan Sarac
  • - Hotel-Dieu Montreal , Canada nicolas gautier
  • - McGill University Health Center , Canada Alexandre Semionov
  • - Oita University, Faculty of Medicine , Japan Fumito Okada
  • - CHUV , Switzerland ANNE-SOPHIE KNOEPFLI
  • - Diskapi Yildirim Beyazit Hospital, Ankara , Turkey Meric Tuzun
  • - Onomichi municipal hospital , Japan Ryotaro Kishi
  • - Dong-A university hospital , Korea (South) Sang-yun LEE
  • - Song-do Hospital , Korea (South) Ji-young Yun
  • - IRCCS Istituto Oncologico - Bari , Italy Carlo Florio
  • - CHU Nancy , France, Metropolitan Guillaume LUX
  • - PingTung Christian Hospital ,China Medical University ,Taiwan,R.O.C. , Taiwan Jun Jun Yeh
  • - Onomichi municipal hospital , Japan Hirofumi Mifune
  • - Toyama University Hospital, Laboratory of Pathology , Japan TOMONORI TANAKA
  • - , Korea (South) Hun-cheol lim
  • - IRSA La Rochelle France , France Denis Chabassiere
  • - Hospital M de Deus , Brazil Thiago Bento da Silva
  • - Hangang sacred heart hospital , Korea (South) You Mie Han
  • - Fukuyama daiichi Hospital , Japan Mototsugu Saeki
  • - care hospital , India Chary D
  • - HOSPITAL MOINHOS DE VENTO porto alegre , Brazil ana zanardo
  • - royal melbourne hospital , Australia kimchi kings
  • - All India Institute of Medical Sciences , India Jitesh Ahuja
  • - Radnet Teleradiology , Turkey Murat Ulusoy
  • - Seoul Nationial University Bundang Hospital , Korea (South) Hee Seok Choi
  • - Univ. of Miami/Jackson Memorial , United States mantosh rattan
  • - Bundang CHA hospital , Korea (South) Jung Jin Young
  • - CHRU lille , France manuel toledano
  • - CH Pau , France Mathieu Cannella
  • - Doctors Hospital , Bahamas muneesh sharma
  • - All India Institute of Medical Sciences , India Ashish Gupta
  • - Hanyang university Guri hospital , Korea (South) Eung tae Kim
  • - Seoul Veterans Hospital , Korea (South) Hye Sun Hwang
  • - Gangnam Severance Hospital , Korea (South) Min Jeong Kim
  • - Yokohama-asahi-chuo-general hospital , Japan Kyoko Nagai
  • - Assam Medical college , India samudra borah
  • - Beaulieu clinic Geneva , Switzerland gilles GENIN
  • - Seoul National University Hospital , Korea (South) Hyungjin Kim
  • - Fu Ta,institude of medicine , Taiwan Jing Zheng
  • - All India Institute of medical sciences , India Justin Moses
  • - Homs National Hospital , Syria Rami Abou Zalaf
  • - Hospital Sotiria, Athens, Greece , Greece Vasilios Tzilas
  • - Mallinckrodt Institute of Radiology , United States Naganathan Mani
  • - Bundang CHA hospital , Korea (South) Sojung Kim
  • - Saga University , Japan Ryoko Egashira
  • - Yonsei University College of Medicine Severance Hospital , Korea (South) GA RAM KIM
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