Leiomyomas is a benign, non cancerous neoplasm of the smooth muscles.

It is a general term for a finding that can occur many places.

They are most often found in the Uterus, Esophagus and Small Bowel.

But they can be found in any organ with Smooth Muscles.

 

Main Types of Leiomyoma

1.)   Uterine Leiomyoma

2.)   Esophageal Leiomyoma

3.)  Small Bowel Leiomyoma

Uterine Leiomyoma

This is also called Uterine Fibroid

It is the most common of the female genital tract.

Typically it is round and firm. There can be several located in the muscle or tissue

Are typically without symptoms and are found incidentally.

Some Possible Symptoms:

– Bleeding
– Pain
– Urinary problems
– and other difficulties can occur.

Diagnosis

Ultrasound is helpful to locate and watch the neoplasm.

Treatment

-     Can be varied depending on number and location.

-     Watch and wait

-     Surgical removal of Leiomyoma itself

-     Hysterectomy

Esophageal Leiomyoma

– This can be the most common benign tumor of the esophagus

Symptoms

-    Often there are no symptoms
-    Difficulty eating
-    Vomiting
-    Food regurgitation
-    Heartburn
-    Weight Loss
-    Cough
–    Painful Swallowing
-    others

Diagnosis

Biopsy and Endoscopy are essential to ensure the tumor is benign

Treatment

-  Wait and Watch

-  Removal by Endoscopy

-  Surgery

Small Bowel Leiomyoma

This is also referred to as a Leiomyoma of the Small Intestines

– Most common benign tumor of small intestines

– Can be found in Jejunum and Ileum

Symptoms

– Stool color changes [Black or Dark]
– Abdominal pain
– Abdominal mass
– Obstruction

Diagnosis

CT can help diagnosis Leiomyoma

Treatment

– Wait and watch

-  Surgery

 

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