Giant pedunculated oesophageal liposarcomas: A review of literature and resection techniques

Ng, Ya-Lyn Annalisa; Lee, June; Zheng, Xiao; Nagaputra, Jerry C.; Tan, Sze Huey; Wong, S.A.

doi:10.1016/j.ijscr.2019.10.006

Cited by 6 publications

(9 citation statements)

References 14 publications

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“…Sixty-three patients with esophageal liposarcoma were found, 62 from a review [ 74 ] and one more recent case report [ 73 ]. Most liposarcomas were polypoid; in 10 patients, an endoscopic approach was used, whereas 9 patients were treated through a left cervical incision.…”

Section: Resultsmentioning

confidence: 99%

Esophageal Lipoma and Liposarcoma: A Systematic Review

et al. 2020

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Background Esophageal lipomatous tumors, also reported as fibrovascular polyp, fibrolipoma, angiolipoma, and liposarcoma, account for less than 1% of all benign mesenchymal submucosal tumors of the esophagus. Clinical presentation and therapy may differ based on location, size, and morphology. A comprehensive and updated systematic review of the literature is lacking. Methods A systematic review of the literature was performed according to PRISMA guidelines. Pubmed, Embase, Cochrane, and Medline databases were consulted using MESH keywords. Non-English written articles and abstracts were excluded. Sex, age, symptoms at presentation, diagnosis, tumor location and size, surgical approach and technique of excision, pathology, and morphology were extracted and recorded in an electronic database. Results Sixty-seven studies for a total of 239 patients with esophageal lipoma or liposarcoma were included in the qualitative analysis. Among 176 patients with benign lipoma, the median age was 55. The main symptoms were dysphagia (64.2%), transoral polyp regurgitation (32.4%), and globus sensation (22.7%). The majority of lipomas (85.7%) were intraluminal polyps, with a stalk originating from the upper esophagus. Overall, 165 patients underwent excision of the mass through open surgery (65.5%), endoscopy (27.9%), or laparoscopy/thoracoscopy (3.6%). Only 5 (3%) of patients required esophagectomy. Of the 11 untreated patients with an intraluminal polyp, 7 died from asphyxia. Overall, liposarcoma was diagnosed in 63 patients, and 12 (19%) underwent esophagectomy. Conclusion Esophageal lipomatous tumors are rare but potentially lethal when are intraluminal and originate from the cervical esophagus. Modern radiological imaging has improved diagnostic accuracy. Minimally invasive transoral and laparoscopic/thoracoscopic techniques represent the therapeutic approach of choice.

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Section: Resultsmentioning

confidence: 99%

Esophageal Lipoma and Liposarcoma: A Systematic Review

et al. 2020

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“…Esophagectomy may be indicated for either tumors without a stalk or tumors with a wide stalk. Endoscopic resection is considered to be the least invasive procedure, but there are some limitations to its use as following after: first, the tumor is pedunculated; second, there is a single stalk; and third, there are no large vessels in the stalk [6]. In the case of endoscopic resection, when the tumor is too large for picking out orally, it must be removed through a cervical incision [4].…”

Section: Discussionmentioning

confidence: 99%

A giant esophageal liposarcoma radically resected by the cervical approach: a case report

Furukawa¹,

Tanemura²,

Matsuda³

et al. 2021

Clin J Gastroenterol

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“… 6 The reported treatment of oesophageal liposarcoma mainly includes transthoracic oesophagectomy, transoral resection and endoscopic submucosal dissection, along with total esophagectomy. 7 It is not possible to resect large oesophageal tumours with endoscopic submucosal dissection. 5 However, compared with open surgery, thoracic laparoscopy can safely and effectively resect large oesophageal masses and reduce the surgical duration, intraoperative blood loss, lymph node dissection and postoperative complications.…”

Section: Discussionmentioning

confidence: 99%

Thoracoscopic and laparoscopic resection of a huge oesophageal liposarcoma: a case report

Lin

Huang

et al. 2021

J Int Med Res

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Oesophageal liposarcomas are particularly rare, accounting for 1.2–1.5% of all gastrointestinal liposarcomas. Surgical resection is the usual treatment. Endoscopic resection is minimally invasive but still controversial. This current case report describes a rare case of a large oesophageal liposarcoma in a 52-year-old male that presented with 10-year history of dysphagia for dry and solid food that was exacerbated by a recent common cold. Thoracoscopic and laparoscopic oesophagectomy was performed. He did not have any dysphagia or dyspnoea 1 week postoperatively. The excised specimen consisted of a polypoid mass measuring 21.0 cm × 5.1 cm. Histological examination confirmed that it was an oesophageal liposarcoma. At 1-year postoperatively, there was no sign of recurrence. Thoracoscopy and laparoscopy can be used to treat large oesophageal masses. Long-term follow-up is required as oesophageal liposarcomas tend to recur.

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Giant pedunculated oesophageal liposarcomas: A review of literature and resection techniques

Cited by 6 publications

References 14 publications

Esophageal Lipoma and Liposarcoma: A Systematic Review

Esophageal Lipoma and Liposarcoma: A Systematic Review

A giant esophageal liposarcoma radically resected by the cervical approach: a case report

Thoracoscopic and laparoscopic resection of a huge oesophageal liposarcoma: a case report

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