What are the symptoms of benign esophageal tumors?

Benign esophageal tumors are rare, accounting for only 1% of esophageal tumors. The age of onset is younger than esophageal cancer, symptoms progress slowly, and the disease lasts long. What are the symptoms of benign esophageal tumors?

Among the benign tumors of the esophagus, the most common is leiomyoma, accounting for about 90%. In addition, there are polyps, lipomas, fibrolipomas, papilloma, etc. that originate from the mucosa and submucosa. Esophageal leiomyoma is more common in middle-aged men. Leiomyomas are mostly located in the lower and middle sections of the esophagus, and most of them are single.

Symptoms and signs of benign esophageal tumors depend mainly on the anatomical location and size of the tumor. Larger tumors can block the esophageal cavity to varying degrees, causing dysphagia, vomiting, and weight loss. Many patients experience aspiration pneumonia, pressure or pain behind the sternum. Patients with hemangiomas may bleed.

Patients with small esophageal leiomyoma can be followed up regularly and there is no need to rush to perform surgery. Patients with large esophageal leiomyoma who present clinical symptoms or who are asymptomatic but feel anxious after the tumor is found should undergo esophageal leiomyoma resection.

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