commonest benign tumor of the esophagus-

• Leiomyoma is MC benign esophageal tumor. • The average age 4th-5th decades, more common in males. • Originate in smooth muscle, 90% are located in lower two thirds of the esophagus. • Usually solitary and typically oval. • They remain intramural, having the bulk of their mass protruding toward the outer wall • The overlying mucosa is freely movable and normal in appearance. Clinical Features • Many leiomyomas are asymptomatic. Dysphagia and pain are MC symptoms. • Location and size tend not to correlate consistently with symptoms Diagnosis • Barium swallow is IOC for leiomyoma (classical, smooth, contoured, punched-out defect) • Endoscopy: Freely movable mass, which bulges into the lumen, • Should not be biopsied because of an increased chance of mucosal perforation at the time of surgical enucleation. Treatment • Enucleation is TOC for leiomyoma.