MCQ MAHE 2000 Surgery Answer 09
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Leiomyomas
- 66% of all benign esophageal tumors
- Sx:
- dysphagia (if tumor >5cm; tumor grows in the muscular wall and the overlying mucosa is intact)
- Dx:
- Hx of dysphagia
- Barium swallow- localized smooth filling defect in esophageal wall
- Esophagoscopy – confirm dx
- Biopsy is CONTRAINDICATED because it violates the mucosa, making subsequent surgical therapy difficult
- Surgical Tx:
- Symptomatic patients: tumor is enucleated from esophageal wall w/o violating mucosa
- Limited esophageal resection is indicated if tumor lies in lower esophagus and cannot be enucleated.
Tags: MCQ, Surgery, Gastroenterology, Leiomyoma
Category: MAHE 2000 MCQs
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