Enucleation of a Giant Esophageal Leiomyoma with Primary Esophageal Repair

Benign esophageal tumors are rare, with esophageal leiomyomas making up the most common benign primary tumors of the esophagus. When these tumors are large in size (>8–10 cm), they often require esophagectomy due to mucosal damage and progression to leiomyosarcoma. We present a case where we successfully enucleated a giant leiomyosarcoma with primary repair and spared the patient an unnecessary esophagectomy.