Giant liposarcoma of the esophagus: A case report

Abstract

Liposarcomas rarely develop in the aerodigestive tract. Here, we present a primary esophageal liposarcoma that was discovered between the T3 and T7 levels of the esophagus during right pleural exploration of a 51-year-old male patient. The patient had presented with non-specific symptoms, including progressive dysphagia over the previous 6 mo, without complaints of chest or epigastric pain, regurgitation, or weight loss. A radical three-hole esophagectomy was performed. The tumor was extremely large (14 cm × 7.0 cm × 6.5 cm), but completely encapsulated. Upon histological examination, the tumor was diagnosed as a giant, well-differentiated esophageal liposarcoma with a dedifferentiated component. Non-specific radiological and endoscopic results during the clinical work-up delayed diagnosis until post-operative histology was performed. In this report, the clinical, radiological and endoscopic diagnostic challenges specific to the case are discussed, as well as the surgical and pathological findings.

Esophageal liposarcoma: Well-differentiated rhabdomyomatous type

“…The standard of care for giant esophageal polyps is surgical resection, which can be directed by different techniques; including an aggressive open cervical approach, radical three-hole esophagectomy, or local endoscopic resection[8,9]. Since in our case the endoscopic ultrasound identified a single proximal stalk without a significant feeding vessel, trans oral endoscopic resection was pursued; making sure completeness was achieved by examining margins of specimen to be uninvolved, as cases of reoccurrence after inadequate resection have been reported[2,5].…”

Analysis of giant thoracic neoplasms: Correlations between imaging, pathology and surgical management

“…A giant thoracic neoplasm is extremely rare and has only occasionally been cited in the literature, usually in single cases . To our knowledge, only one previous has reported conclusions after surgical treatment .…”

“…A giant thoracic neoplasm is extremely rare and has only occasionally been cited in the literature, usually in single cases. [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] To our knowledge, only one previous has reported conclusions after surgical treatment. 26 Our retrospective study of 45 patients showed the complexity and heterogeneity of giant thoracic neoplasm through clinical characteristics, imaging manifestations, surgical management, pathology, and prognosis.…”

Myxoid esophageal liposarcoma: A case report of a rare tumor

“…Liposarcoma in the gastrointestinal tract is an uncommonpathology especially in the oesophagus (1.2% to 1.5% of all gastrointestinal lipomas) [[6], [7], [8]]. Only 42 cases was reported in the literature [9,2].…”