Submucosal of the distal esophagus

Submucosal lesions of the esophagus are frequently discovered during gastroscopy either incidentally or because of symptoms, such as obstruction of the esophageal passage. In the great majority of cases these tumors are benign and are usually leiomyomas. However, numerous other rare benign tumors can also occur. Endosonography is the diagnostic tool of choice to give information in respect of the dignity and also the need to undertake further control follow-up. If there is growth, increase of symptoms or suspected malignancy, patients should undergo endoscopic or surgical resection. Only then can a clear histologically-based diagnosis be made and a prognostic evaluation given. In the present case the patient had a lymphangioma, an extremely rare but benign tumor of the esophagus.