Leiomyoma lesions can mimic esophageal cancer making the diagnosis more challenging. Many cases are asymptomatic, up to 15 50 , and most cases are discovered incidentally during esophagogastroduodenoscopy EGD and other procedures. ...CASE REPORT Here we report a case of a 53 year old Saudi female patient who presented with dysphagia which had been ongoing for a long time. ...