Table of Contents
Diagnostic and Therapeutic Endoscopy
Volume 5, Issue 1, Pages 49-52

Endoscopic Diagnosis of Leiomyosarcoma of the Esophagus, a Rare Neoplasm

1Divisione di Chirurgia Toracica, Azienda Ospedaliera Niguarda CàGranda, Ospedale Maggiore 3/5, Milano 20162, Italy
2Service of Gastroenterology and Digestive Endoscopy, Italy
3Insitute of Patholbgy, Ospedale Niguarda, CàGranda, Milano, Italy

Received 1 February 1998; Accepted 16 March 1998

Copyright © 1998 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We report a case of leiomyosarcoma of the distal third of the esophagus in a 51-year-old woman presenting with a six-month history of severe epigastric pain, disphagia and weight loss. The diagnosis, suspected on endoscopic examination, was preoperatively acheived by biopsy and immunohistological stain. Surgical treatment was undertaken with good results. Differentiation between leiomyosarcoma and more common esophageal neoplasm may be difficult if based on radiographic and endoscopic appearance. Preoperative histological confirmation is therefore mandatory to schedule a wide surgical excision.