Esophageal Leiomyoma Diagnosis

1, X-ray examination. X-ray barium meal examination of Esophageal Leiomyoma is the main diagnostic methods, combined with clinical manifestations, can often confirmed diagnosis for Esophageal Leiomyoma. Barium meal made in former times the size of tumors seen depends on the shape and growth pattern. Intraluminal filling defect is the main performance, defects were round or oval-shaped, smooth the edge of sharp, clear boundaries with the normal esophagus. Filling defect in upper and lower side with the angle at the junction of normal esophageal tumor was protruding into the lumen and the number of acute or slightly obtuse angle. With the esophagus is situated perpendicular to the long axis of the tumor contour contrast barium meal due to appear as a semi-circular shadow of the "ring sign." Mucosal tumor Department was the top that folds disappeared around the less than barium, into a thin layer to form a "waterfall levy" or "levy applied." Tumor large filling defect in the parts where we can see the shadow of soft tissue, barium observed under perspective through the case, above the stop for the moment in the tumor, and then in the intramural esophageal tumor and the contralateral band was passed, like a small ditch. Esophageal wall near the tumor is soft, good contraction, not expansion of the proximal esophagus. Leiomyoma or multiple masses surrounded by horseshoe-shaped esophagus, so that the lumen surfaces, mucous membrane show the clear, it is necessary to pay attention to the identification of esophageal cancer. The latter wall stiffness, irregular filling defect, a mucosal damage. Esophageal leiomyoma with mediastinal tumor Department pressure to change the difference is: filling defect in the latter Department shallow wall, the wall tangent spaces between tumor and video into a obtuse angle barium esophageal wall to the side of double shift. Esophageal barium meal examination can also be found with other complications, such as esophageal diverticulum, hiatal hernia, etc..

2, Esophagofiberscope. The majority of esophageal leiomyoma can be barium meal after diagnosis, coupled with fiber Esophagoscopy (gastrofiberscopy commonly used in practice), accuracy up to 90% for diagnosed esophageal leiomyoma. This tests can see the tumor site, size, number of and shape. Microscope to see the highlights of the esophageal tumor cavity, the surface smooth and flat mucosa integrity, folds disappear, shows translucent red, fibroid edge looming, when swallowing, mild upper and lower tumor activity can be seen, the narrow lumen much. As seen in normal mucosa, it should not be bitten from the Organization inspection, due to not be able to obtain tumor tissue and normal esophageal mucosa injury, so that adhesion and tumor mucosa, mucosa outside the tumor after removal of line, it is easy to cause damage, or even forced to visit esophageal resection and reconstruction of part of surgery. There is a change in the mucosal surface can not be other than malignant lesions, biopsy should be performed.

3, CT scan and magnetic resonance (MRI) examination. Esophageal barium meal and after fiber Esophagoscopy diagnosis can be most clearly, a small number of cases, especially in the middle of smooth muscle tumor, sometimes with aortic aneurysms, vascular malformations oppression or mixed, the CT and contribute to the differential diagnosis of MRI examination. CT can also understand the tumor extended to the tube and the exact position and contribute to surgical incision in the design of the program. In addition, B ultrasonic can also detect Esophageal Leiomyoma.