Pedunculated giant fibrolipoma of the esophagus: a case report

Abstract

A 59-year-old man presented to our hospital with dysphagia. Esophagography and endoscopy demonstrated a large pedunculated tumor. CT scan and MRI showed a large esophageal tumor consisting of fatty tissue. The tumor was diagnosed as lipoma or liposarcoma of the esophagus, and esophagectomy was performed. Histological examination showed fibrolipoma with a vascular component. Lipomas of the esophagus are extremely rare and often become large before causing symptoms. Surgical or endoscopic resection is the preferred treatment. Treatment strategies are dependent on site, size, and characteristics of the peduncle.

Giant Esophageal Fibrolipoma and an End-Stage Megaesophagus due to Achalasia

“…To our knowledge, there are only six cases of an esophageal fibrolipoma, extending in the thoracic cavity, reported in the literature. [1][2][3][4] None of them are combined with achalasia. Surgical or endoscopic resection is the preferred therapy for giant esophageal fibrolipoma.…”

“…Surgical or endoscopic resection is the preferred therapy for giant esophageal fibrolipoma. 2,3 The treatment strategy depends on site, size, and characteristics of the tumor peduncle. Esophagectomy is indicated in case of achalasia with tortuous megaesophagus.…”