Esophageal disorders benign 4 Tumors

4. TUMOURS

4.1 LEIOMYOMA

 

This  is the most common benign tumour of the  oesophagus.   They

occur in equal frequency in males and females between the ages of

20-50  years.  The majority of these intramural tumour  occur  in

the middle and lower thirds of the oesophagus.

 

They  present  with  dysphagia  small (<5 cm="" span="" style="mso-spacerun: yes;"> 

and  may  have  no

symptoms.  Obstruction and regurgitation occurs in large tumours.

 

TREATMENT

 

The tumour is excised through a thoracotomy (left for lower third

and  right  for  middly  third).   The  longitudinal  fibres   of

oesophagus  split  and the tumours dissected out  -  leaving  the

submucosa intact.  The longitudinal fibres are stiched.

 

4.2 HEMANIGIOMAS

 

These  constitute  2-3%  of all benign  tumours  and  may  remain

symptomless.   They may sometimes cause  successive  hematemesis. 

Laser  therapy through the endoscope provide effective  means  of

treatment.

 

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