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December 1950

ESOPHAGEAL LEIOMYOMAS: Report of Additional Case

Author Affiliations

From the Thoracic Surgical Section, Oakland Veterans Administration Hospital.

AMA Arch Surg. 1950;61(6):1066-1072. doi:10.1001/archsurg.1950.01250021076008

LEIOMYOMA of the esophagus is a rare benign tumor. Rose1 reviewed the literature in 1936 and found but 49 cases of myoma of the esophagus, all of them noted at autopsy. From a series of 7,459 postmortem examinations at the Mayo Clinic,2 44 benign tumors including 32 leiomyomas were reported. With the increased interest in the differential diagnosis of esophageal tumors, more leiomyomas have been discovered during life. Recent literature reports 14 cases of surgically removed leiomyomas of the esophagus, including those of the esophagocardiac junction. The progress of surgical treatment of this lesion is illustrated by a brief review of these cases.

In 1933 Ohsawa3 performed what was probably the first enucleation of an esophageal myoma in a 43 year old woman. It was found during an esophagocardioplasty undertaken for idiopathic esophageal dilatation. Through a thoracoabdominal incision, Brock4 in 1942 performed a successful resection of

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