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Eur J Cardiothorac Surg 2002;21:127-129
© 2002 Elsevier Science NL

Case report

A leiomyosarcoma of the oesophagus presenting incidentally without dysphagia

R.S. Jutleya, R.D. Graya, J.M. MacKenzieb, J.S. Cockburna*

a Department of CardioThoracic Surgery, Aberdeen Royal Hospitals NHS Trust, Aberdeen Royal Infirmary, Aberdeen AB25 2ZN, UK
b Department of Pathology, University of Aberdeen, Foresterhill, Aberdeen AB25 2ZN, UK

Received 7 June 2001; received in revised form 22 October 2001; accepted 22 October 2001.

* Corresponding author. Department of CardioThoracic Surgery, Grampian University Hospitals NHS Trust, Foresterhill, Aberdeen AB25 2NZ, UK. Tel.: +44-1224-554-998; fax: +44-1224-553-506
e-mail: susan.morrison{at}arh.grampian.scot.nhs.uk

Leiomyosarcoma is a rare tumour that accounts for 0.5% oesophageal sarcomas. The most common presenting symptom is dysphagia. This report presents a case of oesophageal leiomyosarcoma in a 56-year-old Caucasian man found incidentally while being investigated for refractory cough. There was no history of dysphagia in spite of tumour mass occupying most of the oesophageal lumen. The leiomyosarcoma was managed successfully with surgical resection and adjuvant radiotherapy. The patient remains disease free after 15 months after surgical intervention. The unusual case presentation is discussed and the surgical management of this rare condition reviewed.

Key Words: Leiomyosarcoma • Oesophagus • Dysphagia • Surgery






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Copyright © 2002 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.