title: A leiomyosarcoma of the oesophagus presenting incidentally without dysphagia.
abstract: Leiomyosarcoma is a rare tumour that accounts for 0.5% oesophageal sarcomas. The most common presenting symptom is dysphagia. This report presents a case of oesophageal leiomyosarcoma in a 56-year-old Caucasian man found incidentally while being investigated for refractory cough. There was no history of dysphagia in spite of tumour mass occupying most of the oesophageal lumen. The leiomyosarcoma was managed successfully with surgical resection and adjuvant radiotherapy. The patient remains disease free after 15 months after surgical intervention. The unusual case presentation is discussed and the surgical management of this rare condition reviewed.
authors.affiliation: Department of CardioThoracic Surgery, Aberdeen Royal Hospitals NHS Trust, Aberdeen Royal Infirmary, Aberdeen AB25 2ZN, Scotland, UK.
authors.forename: R S
authors.initials: RS
authors.lastname: Jutley
authors.forename: R D
authors.initials: RD
authors.lastname: Gray
authors.forename: J M
authors.initials: JM
authors.lastname: MacKenzie
authors.forename: J S
authors.initials: JS
authors.lastname: Cockburn
mesh_terms: D004938:Esophageal Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D007890:Leiomyosarcoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011859:Radiography; D018714:Radiotherapy, Adjuvant