CTICasesCalcified Esophageal Leiomyoma
Imaging findings
CT demonstrates an elongated, heavily calcified soft-tissue mass involving the esophageal wall, with dense confluent dystrophic calcifications protruding into the esophageal lumen. Biopsies demonstrated spindle cells consistent with a degenerating, calcified leiomyoma.
Key takeaways
Leiomyomas are the most common benign mesenchymal tumors of the esophagus. Although calcification is relatively uncommon in these tumors, extensive dystrophic calcification can occur and should not exclude the diagnosis of leiomyoma.
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