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

Imaging

•     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