Transoral Endoscopic Resection of Esophageal Liposarcoma

Aloraini, Abdullah; Nahal, Ayoub; Ferri, Lorenzo

doi:10.1016/j.athoracsur.2012.04.130

Cited by 7 publications

(3 citation statements)

References 5 publications

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“…Endoscopic resection confers the benefit of being less morbid and invasive compared with conventional surgery, especially since the majority of such tumours are pedunculated giant oesophageal polyps arising from a single stalk. Endoscopic techniques described in the literature include (a) using a stabilising retraction suture placed with an endoscopic suturing device followed by division of stalk using ultrasonic shears [1], (b) using a snare with cutting and coagulation [10,13] (c) endoscopic submucosal dissection (ESD) with knife [12,16], and (d) application of hemoclips following diathermy [9]. The subsequent tumour then can either be removed transorally or retrieved via an oesophagotomy or laparotomy if it is too large.…”

Section: Discussionmentioning

confidence: 99%

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

Lee

Zheng

et al. 2019

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

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

Lee

Zheng

et al. 2019

International Journal of Surgery Case Reports

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“…As the diagnosis of an atypical lipomatous tumour was not entertained pre-operatively, no frozen section analysis of the resection margins was done at the time of surgery. Endoscopic resection of these lesions has also been described, and is an alternative to the open surgical resection performed in this case, however this is not available at our institution [5–7].…”

Section: Discussionmentioning

confidence: 99%

Atypical lipomatous tumour of the oesophagus

Smith

Went

Gaskin

et al. 2019

Journal of Surgical Case Reports

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Atypical lipomatous tumours (ALT) of the oesophagus are rare malignant tumours that are found most commonly in the cervical oesophagus. They are commonly misdiagnosed as giant fibrovascular polyps of the oesophagus (GFP). The differentiation between these clinical entities is important as ALTs are malignant tumours with the potential for local recurrence and metastases. We present a case of an ALT which was misdiagnosed as a GFP. The correct diagnosis was made on histological examination of the resected specimen, and confirmed by immunohistochemistry. The tumour cells extended to involve the resection margins, highlighting the need to consider this diagnosis when dealing with all oesophageal polyps, and ensure complete resection of these tumours.

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“…Invasive biopsy studies of the lesion have not been conclusive or useful for diagnosis; only an estimated 5% of cases have been diagnosed using these studies. Definitive treatment can be performed through different types of surgical approaches, either laparotomy, cervicotomy, or thoracotomy, and there are reports of a transoral resection of the lesion through an endoscopy in cases with small lesions 6 .…”

Section: Correspondencementioning

confidence: 99%

Esophageal Liposarcoma with Cervical and Abdominal Approach: A Case Report

Uvalle-Villagomez¹,

Pérez-Salazar²,

Martínez-Zarazua³

et al. 2019

RMU

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Introduction: Liposarcoma is the most common tumor in soft tissues, being extremely rare in the esophagus. Its diagnostic approach is difficult due to its clinical presentation, being able to be confused with motor pathologies. The definitive treatment is surgical resection, which, together with anatomopathological analysis, is considered the only diagnostic methods. Case Report: A 59-year-old female, with a clinical picture of 5 years of evolution, retrosternal pain accompanied by gastroesophageal reflux, progressive dysphagia, weight loss, and dyspnea. She was assessed with endoscopy and tomography showing a polypoid pedunculated lesion in the esophagus, on which is performed surgical treatment with a resection, diagnosing liposarcoma. Conclusion: Liposarcoma is the most common tumor found in soft tissues, being a disease of very low incidence in the esophagus. It is a slow-growing neoplasm, with uncertain pathophysiology, reaching sufficient size late in its diagnostic approach, developing obstructive symptoms in the superior digestive tract, and in more severe cases, affecting the airway. It appears mostly in adults, and surgical resection and anatomopathological analysis are the definitive surgical treatments and methods of choice for diagnosis.

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Transoral Endoscopic Resection of Esophageal Liposarcoma

Cited by 7 publications

References 5 publications

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

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

Atypical lipomatous tumour of the oesophagus

Esophageal Liposarcoma with Cervical and Abdominal Approach: A Case Report

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