Skip to main content
SpringerLink
Log in

Leiomyoma

  • Chapter
Imaging of Gastrointestinal Tract Tumors

  • 80 Accesses

Abstract

Approximately 1% of all gastrointestinal tract tumors are of smooth muscle origin (Buxton 1960; Morton et al. 1956). Leiomyoma, the most prevalent type, has variable clinical manifestations depending on the gastrointestinal segment affected. As for other tumors that develop intramurally, ultrasonography, endosonography, and CT all provide valuable information. Ultrasonography can be hampered by overlying intestinal gas, but can demonstrate the apparently solitary and solid nature of these gastrointestinal wall tumors. CT can assess the size, location, and especially the vascularity of these muscle tumors, but cannot determine their benign or malignant nature. Sonoendoscopy accurately analyzes the lesion location within the wall and has become an excellent means of exploration for this type of tumor. Owing to the different possibilities of imaging techniques depending on the gastrointestinal segment involved, the various localizations are discussed with their general features and imaging patterns.

Written in conllaboration with J. Drouillard.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 16.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Abrescia F, Montresor E, Saggin P, Tenchini P, Sandrini A, Frigo F, Puchetti V (1985) Leiomyomata of the oesophagus: report of four surgically treated cases. Eur J Surg Oncol 11: 333–336

    PubMed  CAS  Google Scholar 

  • Allen FA (1971) Leiomyomata of gastrointestinal tract. J Kans Med Soc 72: 453–457

    PubMed  CAS  Google Scholar 

  • Baker HL, Allen Good C (1955) Smooth-muscle tumors of the alimentary tract. Their roentgen manifestations. MR 74: 246–255

    Google Scholar 

  • Barnett LE (1925) Myoma of stomach with gastro- duodenal intussusception. Br J Surg 12: 615–617

    Article  Google Scholar 

  • Barreiro F, Seco JL, Molina J, Villamor J (1976) Giant esophageal leiomyoma with secondary megaesophagus. Surgery 79: 436–439

    PubMed  CAS  Google Scholar 

  • Barrett NR (1964) Benign smooth muscle tumours of the oesophagus. Thorax 19: 185–194

    Article  PubMed  CAS  Google Scholar 

  • Benacerraf R (1974) Apport de l’artériographie digestive au diagnostic des tumeurs du grêle. Ann Radiol 17: 751–764

    PubMed  CAS  Google Scholar 

  • Ben Benachem Y, Akhtar M, Duke JH, Harberg BL (1977) Angiographic characteristics of esophageal leiomyoma. MR 128: 479–482

    Google Scholar 

  • Bernatz PE, Smith JL, Ellis FH, Andersein HA (1958) Benign pedunculated, intraluminal tumors of the oesophagus. J Thorac Surg 35: 503–512

    PubMed  CAS  Google Scholar 

  • Blarney SL, Woods SDS (1986) Leiomyoma of Meckel’s diverticulum. Med J Aust 145: 232–233

    Google Scholar 

  • Boijsen E, Wallace S, Kanter IE (1966) Angiography in tumours of stomach. Acta Radiol [Diagn] (Stockh) 4: 306–320

    CAS  Google Scholar 

  • Bollack C, Warter P, Lang G (1960) A propos d’une observation de léiomyomes multiples de l’oesophage thoracique. Arch Fr Mal Appar Dig 49: 1624–1631

    Google Scholar 

  • Botsford TW, Crowe P, Crocker DW (1962) Tumors of the small intestine. Am J Surg 103: 358–365

    Article  PubMed  CAS  Google Scholar 

  • Braczkowski Z, Gnarowski H, Solarski J (1976) Case of multiple gastric leiomyomas with prolapse of one myoma into the duodenum and haemorrhage. Pol Przegl Chir 48: 713–714

    PubMed  CAS  Google Scholar 

  • Bradford ML, Mahon HW, Crow JB (1947) Mediastinal cysts and tumours. Surg Gynecol Obstet 85: 467–491

    PubMed  CAS  Google Scholar 

  • Brief D, Botsford T (1963) Primary bleeding from small intestine in adults. JAMA 184: 18–22

    Article  PubMed  CAS  Google Scholar 

  • Brombart M (1973) Radiologie des tumeurs bénignes et malignes de l’oesophage. Ann Gastroenterol Hepatol (Paris) 9: 109–138

    Google Scholar 

  • Bruneton JN, Drouillard J, Roux P, Lecomte P, Tavernier J (1981) Leiomyoma and leiomyosarcoma of the digestive tract. A report of 45 cases and review of the literature. Eur J Radiol 1: 291–300

    PubMed  CAS  Google Scholar 

  • Buxton RW (1960) Smooth muscle tumors of the gastrointestinal tract. Am Surg 26: 666–677

    PubMed  CAS  Google Scholar 

  • Cohen A, Mac Neill D, Terz JJ, Lawrence W (1971) Neoplasms of the small intestine. Am J Dig Dis 16: 815–824

    Article  PubMed  CAS  Google Scholar 

  • Cornell NW, Shehadi WH, Sharnoff RD (1950) Leiomyomas of esophagus; report of five cases. Surgery 28: 881–886

    PubMed  CAS  Google Scholar 

  • Christinaz D, Meyer P, Moser G, Rohner A (1984) Etude de 25 cas de tumeurs musculaires lisses gastriques et revue de la littérature. Schweiz Med Wochenschr 114: 708–710

    PubMed  CAS  Google Scholar 

  • Coscina WF, Arger PH, Levine MS, Herlinger H, Cohen S, Coleman BG, Mintz MC (1986) Gastrointestinal tract focal mass lesions: role of CT and barium evaluations. Radiology 158: 581–587

    PubMed  CAS  Google Scholar 

  • Croom RD, Newsome JF (1975) Tumors of the small intestine. Am Surg 41: 160–167

    PubMed  Google Scholar 

  • Crummy AB, Juhl JH (1962) Calcified gastric leiomyoma. AJR 87: 727–728

    Google Scholar 

  • Cullen TH, Voss HJ (1972) Leiomyoma of the appendix. Br J Surg 59: 576–580

    Article  Google Scholar 

  • Daniel RA, Williams RB (1950) Leiomyoma of esophagus. J Thorac Cardiovasc Surg 19: 800–805

    Google Scholar 

  • Davies PM (1978) Smooth muscle tumours of the upper gastrointestinal tract. Clin Radiol 29: 407–414

    Article  PubMed  CAS  Google Scholar 

  • Delavierre P, Hureau J, Lasserre D, Bourdais JP (1975) Les léiomyomes bénins ou malins du côlon. Sem Hop 27: 1891–1894

    Google Scholar 

  • Deverall PB (1968) Smooth muscle tumors of the oesophagus. Br J Surg 55: 457–460

    Article  PubMed  CAS  Google Scholar 

  • Domergue J, Rouanet P, Joyeux H, Solassol C, Pujol H (1986) Tumeurs musculaires de l’oesophage. A propos de 9 cas et revue de la littérature. J Chir (Paris) 123: 555–558

    CAS  Google Scholar 

  • Ebert PA, Zuidema GD (1965) Primary tumors of the small intestine. Arch Surg 91: 452–455

    Article  PubMed  CAS  Google Scholar 

  • Ebert RE, Parkhurst GF, Melendy OA, Osborne MP (1953) Primary tumors of the duodenum. Surg Gynecol Obstet 97: 135–139

    PubMed  CAS  Google Scholar 

  • Farah MC, Jafri SZH, Schwab RE, Mezwa DG, Francis IR, Noujaim S, Kim C (1987) Duodenal neoplasms: role of CT. Radiology 162: 839–843

    PubMed  CAS  Google Scholar 

  • Flavell G (1953) Leiomyoma of oesophagus. Br J Surg 41: 238–240

    Article  PubMed  CAS  Google Scholar 

  • Freni SC, Keeman JN (1977) Leiomyomatosis of the colon. Cancer 39: 263–266

    Article  PubMed  CAS  Google Scholar 

  • Fujii K, Yamagata S, Suzuki J, Sasaki R, Shoji T, Makabe M, Memezawa H, Maesawa S (1972) Angiographie features of submucosal tumours of the stomach. Tohoku J Exp Med 107: 287–299

    Article  PubMed  CAS  Google Scholar 

  • Gallinger S, Steinhardt MI, Goldberg M (1983) Giant leiomyoma of the esophagus. Am J Gastroenterol 78: 708–711

    PubMed  CAS  Google Scholar 

  • Ghahremani GG, Meyers MA, Port RB (1978) Calcified primary tumors of the gastrointestinal tract. Gastrointest Radiol 2: 331–339

    Article  PubMed  CAS  Google Scholar 

  • Glanz I, Grunebaum M (1977) The radiological approach to leiomyoma of the oesophagus with a long term follow-up. Clin Radiol 28: 197–200

    Article  PubMed  CAS  Google Scholar 

  • Godard JE, MacCrane D (1973) Multiple leiomyo-mas of the esophagus. MR 117: 259–262

    CAS  Google Scholar 

  • Good CA (1963) Tumors of the small intestine. AJR 89: 685–704

    CAS  Google Scholar 

  • Good CA (1965) Benign tumors of the stomach and duodenal bulb. J Can Assoc Radiol 16: 92–104

    PubMed  CAS  Google Scholar 

  • Gothlin J, Bloch R, Sundgren R (1975) Intraphrenic oesophageal leiomyoma associated with diverticula preoperatively diagnosed by angiography. Acta Radiol [Diagn] (Stockh) 16: 673–678

    CAS  Google Scholar 

  • Graham SC, Blanchard IT, Scatliff JH (1972) Calcified gastric leiomyoma presenting as a mediastinal mass. MR 114: 529–531

    Google Scholar 

  • Gray SW, Skandalakis JE, Shepard D (1961) Smooth muscle tumours of the esophagus. Collective review. Int Abstr Surg 113: 205–220

    Google Scholar 

  • Griff LC, Cooper J (1967) Leiomyoma of the oesophagus presenting as a mediastinal mass. MR 101: 472–481

    CAS  Google Scholar 

  • Grignani G, Pacchiarini L, Gamba G, Rizzo SC (1985) Invaginazione di leiomioma gastrico causante subocclusione duodenale et stasi biliare. Minerva Med 76: 1623–1626

    PubMed  CAS  Google Scholar 

  • Grimoud M, Toulemonde H, Martinet C (1974) Léiomyomes gastriques et duodénaux. A propos de 13 cas. Chirurgie 100: 125–129

    PubMed  CAS  Google Scholar 

  • Grundy A, Rayter Z, Shorthouse M (1984) Gastrogastric intussuscepting leiomyomas. Gastrointest Radiol 9: 319–321

    Article  PubMed  CAS  Google Scholar 

  • Haber K, Winfield AC (1974) Multiple leiomyomas of the esophagus. Am J Dig Dis 19: 678–680

    Article  PubMed  CAS  Google Scholar 

  • Han Sy, Aldrete JS (1977) The radiology corner: angiographic diagnosis of leiomyomas of the small intestine. Am J Gastroenterol 68: 91–94

    PubMed  CAS  Google Scholar 

  • Harrington SW, Moersch JJ (1944) Surgical treatment and clinical manifestations of benign tumours of oesophagus with report of seven cases. J Thorac Cardiovasc Surg 13: 392–414

    Google Scholar 

  • Hauswald KR, Griffen WO (1977) Smooth muscle tumors of the duodenum. Rev Surg 34: 64–67

    PubMed  CAS  Google Scholar 

  • Herlinger H (1966) The recognition of exogastric tumors. Report of 6 cases. Br J Radiol 39: 25–36

    Article  PubMed  CAS  Google Scholar 

  • Huddy P, Griffiths G (1972) Leiomyoma of the oesophagus with calcification. Br J Surg 59: 239–242

    Article  PubMed  CAS  Google Scholar 

  • Jost JL, Regnard JF, Merlier M, Vayre P (1986) Léio- myomes de l’oesophage. Presse Med 15: 120

    PubMed  CAS  Google Scholar 

  • Kaude J, Silseth CH, Tylen U (1972) Angiography in myomas of the gastrointestinal tract. Acta Radiol [Diagn] (Stockh) 12: 691–704

    CAS  Google Scholar 

  • Kaupp HA, Carroll WW, Shields TW (1964) Leiomyomas of the gastrointestinal tract. Trans West Surg Assoc 71: 313–316

    Google Scholar 

  • Kavlie H, White TT (1972) Leiomyomas of the upper gastrointestinal tract. Surgery 71: 842–848

    Google Scholar 

  • Kaymakcalan H, Sequeria W, Barretta T, Ghosh BC, Steigmann F (1980) Hypertrophie osteoarthropathy with myogenic tumors of the esophagus. Am J Gastroenterol 74: 17–20

    PubMed  CAS  Google Scholar 

  • Kramer MD, Gibb SP, Ellis FH (1986) Giant leiomyoma of esophagus. J Surg Oncol 33: 166–169

    Article  PubMed  CAS  Google Scholar 

  • Kressel HY, Gatenby RA, Troupin RH (1981) Correlative imaging conference: Hospital of the University of Pennsylvania. IV. Abdominal pain and blood loss. MR 137: 769–775

    Google Scholar 

  • Kusminsky RE, Bailey W (1977) Leiomyomas of the rectum and anal canal: report of six cases and review of the literature. Dis Colon Rectum 20: 580–599

    Article  PubMed  CAS  Google Scholar 

  • Lueders HW, Tiscenco E (1945) Benign tumour of oesophagus and its differential diagnosis. Br J Radiol 18: 99–107

    Article  Google Scholar 

  • McKenzie DA, McDonald JR, Waugh JM (1954) Leiomyoma and leiomyosarcoma of the colon. Ann Surg 137: 67–68

    Article  Google Scholar 

  • Megibow AJ, Balthazar EJ, Ulnick DH, Naidich DP, Bosniak MA (1985) CT evaluation of gastrointestinal leiomyomas and leiomyosarcomas. AJR 144: 727–731

    PubMed  CAS  Google Scholar 

  • Merlier M, Le Thoai H, Leguerrier A, Bouquet P, Levasseur P, Vayre P (1977) Les léiomyomes de l’oesophage. A propos de 20 observations. J Chir 113: 249–254

    CAS  Google Scholar 

  • Minassian SS, Frangipane W, Polin JI, Ellis M (1986) Leiomyomatosis peritonealis disseminata. A case report and literature review. J Reprod Med 31: 997–1000

    Google Scholar 

  • Morton JH, Stabins SJ, Morton JJ (1956) Smooth muscle tumours of the alimentary tract. Ann Surg 144: 487–505

    Article  PubMed  CAS  Google Scholar 

  • Moser G, Spiliopoulos A, Lecourt AL, Megevand R (1978) Les léiomyomes de l’oesophage. A propos de 16 cas. HeIv Chir Acta 45: 657–666

    Google Scholar 

  • Mouchet A, Chavy A, Daussy M (1969) Léiomyomes de l’oesophage. Arch Fr Mal Appar Dig 58: 541–553

    CAS  Google Scholar 

  • Myre J (1963) Diagnosis of small bowel tumors. Am J Dig Dis 8: 916–922

    Article  Google Scholar 

  • Nahum H, Reysseguier JC, Prandi D, Conte-Marti J, Benasse S, Lortat-Jacob JL (1972) Les tumeurs bénignes de l’oesophage. Etude radiologique à propos de 11 observations. Ann Radiol 15: 581–590

    PubMed  CAS  Google Scholar 

  • Naouri A, Naouri C, Tissot E (1986) Léiomyomes et léiomyomatose de l’oesophage. A propos de deux cas. J Chir (Paris) 123: 31–34

    Google Scholar 

  • Nicolas V, Schlolaut KH (1987) Faszikulares Leiomyom des Osophagus. Fortschr Geb Roentgenstr 146: 101–103

    Article  CAS  Google Scholar 

  • Olsson O (1972) Angiography in the diagnosis of duodenal lesions. II. Benign tumors, ulceration and inflammatory and vascular lesions. Acta Radio] [Diagn] (Stockh) 12: 164–174

    CAS  Google Scholar 

  • O’Riordan D, Levine MS, Yeager BA (1985) Complete healing of ulceration within a gastric leiomyorna. Gastrointest Radiol 10: 47–49

    Article  PubMed  Google Scholar 

  • Ostermiller W, Joergenson EJ, Weibel L (1966) A clinical review of tumours of small bowel. Am J Surg 111: 403–409

    Article  PubMed  CAS  Google Scholar 

  • Postlethwait RW, Musser AW (1976) Changes in the esophagus in 1000 autopsy specimens. J Thorac Cardiovasc Surg 68: 953–956

    Google Scholar 

  • Preda F, Alloisio M, Lequaglie C, Ongari M, Ravasi G (1986) Leiomyoma of the esophagus. Tumori 72: 503–506

    PubMed  CAS  Google Scholar 

  • Renigers SA, Michael AS, Bardawil WA, Shapiro DA, Toledo RN, Schmit DJ, Ryva J (1985) Sono-graphic findings in leiomyomatosis peritonealis disseminata: a case report and literature review. J Ultrasound Med 4: 497–500

    PubMed  CAS  Google Scholar 

  • Reuter S, Redman H, Miller W, Hoskins P (1970) Gastric angiography. Radiology 94: 271–276

    PubMed  CAS  Google Scholar 

  • Ribert M, Savinel E, Gosselin B (1973) Leiomyome de l’oesophage d’extension médiastinale. Sem Hop 49: 1265–1267

    Google Scholar 

  • River L, Silverstein J, Tope JW (1956) Benign neoplasms of the small intestine. Int Abstr Surg 102: 1–38

    CAS  Google Scholar 

  • Rose JD (1936) Myomata of oesophagus. Br J Surg 24: 297–308

    Article  Google Scholar 

  • Roussel B, Birembau T, Gaillard D, Puchelle JC, D’Albignac G, Pennaforte F, Fandre M (1986) Leiomyomatose oesophagienne familiale associée a un syndrome d’Alport chez un garçon de 9 ans. Heiv Paediatr Acta 41: 359–368

    CAS  Google Scholar 

  • Salmela H, Kohler R (1969) Roentgenological characteristics of mesenchymal tumours of the stomach. A retrospective study of 59 patients. Ann Clin Res 1: 57–63

    PubMed  CAS  Google Scholar 

  • Sasaki K, Gotoh Y, Nakayama Y, Hayasaka H, Ishiyama Y, Miyashita H (1985) Leiomyoma of the rectum. Int Surg 70: 149–152

    PubMed  CAS  Google Scholar 

  • Scatarige JC, Allen HA, Fishman EK (1987) Computed tomography of the small bowel. Semin Ultrasound CT MR 8: 403–423

    Google Scholar 

  • Schatzki R, Howes LE (1942) Roentgenological appearance of extramucosal tumors of esophagus. Analysis of intramural extramural lesions of gastrointestinal tract in general. MR 48: 1–15

    Google Scholar 

  • Schiebel HM, Cleaver H (1955) Case of multiple leiomyomas of esophagus. Am Surg 21: 1133–1136

    PubMed  CAS  Google Scholar 

  • Schoembaum SW, Sprayregen S, Kron ES, Siegel-man SS (1973) Angiographic demonstration of bleeding gastric leiomyomas. MR 119: 277–279

    Google Scholar 

  • Serementis MG, Lyons WS, De Guzman VC, Peabody JW (1976) Leiomyomata of the esophagus. An analysis of 838 cases. Cancer 38: 2166–2177

    Article  Google Scholar 

  • Shaffer HA (1976) Multiple leiomyomas of the esophagus. Radiology 118: 29–34

    PubMed  Google Scholar 

  • Shibata S, Iwasaki N (1970) Angiographic findings in diseases of the stomach. MR 110: 322–331

    CAS  Google Scholar 

  • Short WF, Young BR (1968) Roentgen demonstration of prolapse of benign polypoid gastric tumors into the duodenum, including a dumbbell-shaped leiomyoma. MR 103: 317–320

    CAS  Google Scholar 

  • Skandalakis JE, Gray SW, Shepard D (1960) Smooth muscle tumors of the stomach. Int Abstr Surg 110: 209–226

    PubMed  CAS  Google Scholar 

  • Solomon A, Papo J, Pikielny S, Stern D (1987) Computed tomographic investigation of serosal and intramural gastrointestinal pathology. Gastrointest Radiol 12: 13–17

    Article  PubMed  CAS  Google Scholar 

  • Solomon MP, Rosenblum H, Rosato FE (1984) Leiomyoma of the esophagus. Ann Surg 199: 246–248

    Article  PubMed  CAS  Google Scholar 

  • Spaun E, Nielsen L (1986) Leiomyomatosis of the colon and mesentery: report of a case. Am J Gastroenterol 81: 385–388

    PubMed  CAS  Google Scholar 

  • Standerfer RI, Paneth M (1982) Recurrent leiomyoma of the oesophagus. Thorax 37: 478–479

    Article  PubMed  CAS  Google Scholar 

  • Starr GF, Dockerty MB (1955) Leicyomas and leiomyosarcomas of small intestine. Cancer 8: 101–111

    Article  PubMed  CAS  Google Scholar 

  • Sweet RH, Soutter L, Tejada C (1956) Muscle wall tumours of oesophagus. J Thorac Surg 91: 3–23

    Google Scholar 

  • Swinnen E, Meeus L, Pattyn G, Vandevoorde P, Steyaert L (1986) Leiomyoma in Meckel’s diverticulum: CT and angiographic studies in one case. J Belge Radiol 69: 355–357

    Google Scholar 

  • Weinstein EC, Dockerty MB, Waugh JM (1963) Neoplasms of Meckel’s diverticulum: collective review. Int Abstr Surg 115: 103–111

    Google Scholar 

  • Wilson JM, Melvin DB, Gray G, Thorbjarnson B (1975) Benign small bowel tumor. Ann Surg 181: 247–250

    PubMed  CAS  Google Scholar 

  • Witt JH, Marks MI, Smith EI, Altshuler G, Wilson DA, Humphrey GB (1983) Leiomyoma presenting as prolonged fever, anemia, and thrombocytosis. Cancer 52: 2359–2362

    Article  PubMed  CAS  Google Scholar 

  • Worton SI (1963) Case n° 194 Mt Sinai J Hosp 30: 80–84

    Google Scholar 

  • Yasuda K, Nakajima M, Kawai K (1986) Endoscopic ultrasonography in the diagnosis of submucosal tumor of the upper digestive tract. Scand J Gastroenterol 21 (Suppl 123): 59–67

    Article  Google Scholar 

  • Zanella FE, Hesse U, Grundmann R (1986) Leiomyom des Dünndarms. Roentgenblätter 39: 255257

    Google Scholar 

  • Zollikofer CL, Castaneda-Zuniga WR, Nath PH, Amplatz K (1979) Angiographic appearance of leiomyoma of the small intestine: report of two cases. Cardiovasc Radiol 2: 131–134

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Service de Radiologie, Centre Antoine-lacassagne, 36, Voie Romaine, 06054, Nice Cedex, France

    Dr. Jean-Noël Bruneton

Authors
  1. Dr. Jean-Noël Bruneton
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 1990 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Bruneton, JN. (1990). Leiomyoma. In: Imaging of Gastrointestinal Tract Tumors. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-83825-5_3

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-83825-5_3

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-83827-9

  • Online ISBN: 978-3-642-83825-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation