Léiomyome géant de l’œsophage et du cardia. A propos d’un cas
Leiomyoma is the most common benign tumour of the oesophagus but it is rare compared to all oesophageal tumours. Giant leiomyoma is exceptional, so there are some difficulties concerning its diagnosis and its treatment.
We report a new observation of giant leiomyoma concerning a forty years old woman that had low dysphagia. An oesogastroduodenal endoscopy found a submucosal process of lower oesophagus extending to cardia, however oesophageal mucosa was safe. Thorax and abdomen scan permitted to reveal the tissular nature of the tumour. We realized a complete tumoral resection with partial oesophagectomy and gastric oesophagoplasty.
Giant leiomyoma is often symptomatic, and its size makes differential diagnosis with leiomyosarcoma difficult, thus justifying a radical resection.
Meryem EL KOUHEN, A. HRORA, M. EL ALAOUP, M. RAÏSS, K. HOSNI, A. HALHAL, A. BENAÏSSA, A. TOUNSI
leiomyoma, oesophageal tumour, oeosphagectomy