Abstract:
Amongst benign mesenchymal tumours of the oesophagus, leiomyomas are the commonest. Leiomyomas account for about two-thirds of all benign lesions of oesophagus. Oesophageal leiomyoma of more than 5 cm in diameter is a rare condition. In symptomatic patients surgical resection is recommended and in asymptomatic patients with small lesions observation is the policy. Extensive calcification or ossification within leiomyoma of oesophagus is an extremely rare finding. As per our knowledge there is no report of osseous metaplasia in oesophageal leiomyoma in literature so far. The present case is of a large oesophageal leiomyoma with osseous metaplasia diagnosed on histopathology.