Leiomyoma of the oesophagus with calcification

Abstract

2394. Widespread and severe patchy atheromatous degeneration was present in all the major arteries.5 . There was moderate hypertrophy of the myocardium of the left ventricle.There were no macroscopic or microscopic features to other conditions that may be associated with aneurysm formation, such as Marfan's syndrome, coarctation of the aorta, syphilitic aortitis, or pregnancy.HISTOLOGICAL FINDINGS.-The sections of the aorta showed atheromatous thickening of the intima, together with degeneration of the medial lamina (Fig. 2 ) . The aneurysm was between the inner and outer layers of the medial lamina'and contained recent unlaminated thrombus, with only slight reactive changes at the margins.None of the sections showed any evidence of bonemarrow emboli.

Calcified mediastinal enterogenous cyst

“…Calcification in foregut cysts, bronchogenic or enterogenous, is rare [1] but has been reported in cases of leiomyoma [6,7], leiomyosarcoma [8], and in esophageal diverticulum [9]. The calcifications reported in foregut cysts and in the diverticulum were linear and peripheral, while in the leiomyoma they were mostly stippled or amorphous.…”

LEIOMYOMA OF OESOPHAGUS (A Report on Two Cases)

“…Literature contains only one definite documented case of malignant transformation of a leiomyoma to leimyosarcoma and when this occurs resection and reconstruction is the treatment of choice [5].…”

“…The tumour may appear in any part of the oesophagus, but the lower third is the commonest site. Johnston, Clagett and McDonald (1953) reported 53% in the lower third, 35% in the middle third and 12% in the upper third [5].…”

“…Oesophageal leiomyomas may rarely be multiple and Storey and Adams (1956) report their occurrence in about 7% while Allison (1967) mentions multiplicity in association with Schatzki's ring [5]. The tumour may appear in any part of the oesophagus, but the lower third is the commonest site.…”