1
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Omachi K, Kosumi K, Tanizaki T, Toihata T, Iwatsuki M, Baba Y, Miyamoto Y, Yoshida N, Baba H. Esophageal dedifferentiated liposarcoma resected by the cervical approach: a case report. Surg Case Rep 2024; 10:199. [PMID: 39297994 DOI: 10.1186/s40792-024-01990-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2024] [Accepted: 08/05/2024] [Indexed: 09/21/2024] Open
Abstract
BACKGROUND While liposarcomas tend to mainly occur in the soft tissues of the extremities and retroperitoneum, esophageal liposarcoma is rare. Herein, we report a case of a patient who underwent complete resection of an esophageal dedifferentiated liposarcoma via the cervical approach, leading to the preservation of the esophagus. CASE PRESENTATION A 69-year-old man underwent an upper gastrointestinal endoscopy, as a result of which a submucosal-like tumor was observed. Upper gastrointestinal imaging showed a 12-cm tumor with a stalk arising from the esophageal entrance, extending to the middle intrathoracic esophagus, with a normal surface mucosa. Endoscopic ultrasound-fine needle aspiration biopsy showed that the nuclei of tumors cells were positive for murine double minute (MDM) and weakly positive for cyclin-dependent kinase 4 (CDK4). We diagnosed the tumor as the esophageal dedifferentiated liposarcoma, and planed tumor resection via the cervical approach. The tumor was successfully resected and the postoperative course was uneventful. CONCLUSION This case report highlights the use of tumor resection via the cervical approach as a good option for esophageal liposarcoma.
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Affiliation(s)
- Kazuki Omachi
- Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-Ku, Kumamoto, 860-8556, Japan
| | - Keisuke Kosumi
- Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-Ku, Kumamoto, 860-8556, Japan.
| | - Takumi Tanizaki
- Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-Ku, Kumamoto, 860-8556, Japan
| | - Tasuku Toihata
- Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-Ku, Kumamoto, 860-8556, Japan
| | - Masaaki Iwatsuki
- Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-Ku, Kumamoto, 860-8556, Japan
| | - Yoshifumi Baba
- Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-Ku, Kumamoto, 860-8556, Japan
| | - Yuji Miyamoto
- Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-Ku, Kumamoto, 860-8556, Japan
| | - Naoya Yoshida
- Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-Ku, Kumamoto, 860-8556, Japan
| | - Hideo Baba
- Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-Ku, Kumamoto, 860-8556, Japan
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2
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Aoun R, Piessen G. Giant esophageal liposarcoma. J Gastrointest Surg 2024; 28:186-187. [PMID: 38445942 DOI: 10.1016/j.gassur.2023.11.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Accepted: 11/04/2023] [Indexed: 03/07/2024]
Affiliation(s)
- Rany Aoun
- Department of Digestive and Oncological Surgery, Claude Huriez University Hospital, Centre Hospitalier Universitaire de Lille, Lille, France.
| | - Guillaume Piessen
- Department of Digestive and Oncological Surgery, Claude Huriez University Hospital, Centre Hospitalier Universitaire de Lille, Lille, France; UMR-S 1172-CANTHER Laboratory "Cancer Heterogeneity, Plasticity and Resistance to Therapies," University of Lille, Lille, France
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3
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Li Q, Chen S, Li Y, Chen Z, Liu Y, Guo W. Giant liposarcoma of esophagus: a rare case report. Diagn Pathol 2023; 18:100. [PMID: 37670330 PMCID: PMC10478250 DOI: 10.1186/s13000-023-01387-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Accepted: 08/26/2023] [Indexed: 09/07/2023] Open
Abstract
BACKGROUND Liposarcoma is a malignant mesenchymal tumor that most commonly involves the retroperitoneum and lower extremities. However, liposarcoma of esophagus has been rarely reported in the literature. CASE PRESENTATION We report a case of a 46-year-old man with complaint of intermittent dysphagia for 6 years, accompanied with paroxysmal vomiting of pedicled tumor to the mouth. Imaging studies showed a huge mixed density lesion in the middle esophageal lumen. Surgical resection of the tumor was performed through an external cervical approach. Microscopically, the tumor was composed of mature adipocytes in normal adipose tissue prominently intersected by sparsely cellular fibrous septa containing atypical, enlarged spindle cells with hyperchromatic nuclei. Immunohistochemically, the tumor cells were positive for Vimentin, S-100, CD34 and MDM2. Besides, fluorescence in situ hybridization (FISH) analysis indicated the presence of amplification involving MDM2 gene. The patient was diagnosed as having esophageal well-differentiated liposarcoma and recovered well after the operation. CONCLUSIONS Esophageal liposarcoma is an extremely rare tumor. Due to the nonspecific clinical manifestation and lack of experience, it is challenging to make a clear diagnosis before operation. Definite diagnosis of esophageal liposarcoma depends on histopathology, immunohistochemistry and molecular analysis.
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Affiliation(s)
- Qingjiao Li
- Department of Pathology, Furong District, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Hunan Province, 61 Jiefang West Road, Changsha City, 410000, China.
| | - Si Chen
- Department of Pathology, Furong District, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Hunan Province, 61 Jiefang West Road, Changsha City, 410000, China.
| | - Yanchun Li
- Department of Pathology, Furong District, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Hunan Province, 61 Jiefang West Road, Changsha City, 410000, China
| | - Zhihong Chen
- Department of Pathology, Furong District, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Hunan Province, 61 Jiefang West Road, Changsha City, 410000, China
| | - Yu Liu
- Department of Pathology, Furong District, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Hunan Province, 61 Jiefang West Road, Changsha City, 410000, China
| | - Wei Guo
- Department of Pathology, Furong District, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Hunan Province, 61 Jiefang West Road, Changsha City, 410000, China
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4
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Okura T, Shirakawa Y, Katsura Y, Yano T, Ishida M, Satoh D, Choda Y, Yoshimitsu M, Kanyu N, Matsukawa H, Idani H, Okajima M, Shiozaki S. Giant esophageal liposarcoma with squamous cell carcinoma resected via the cervical approach: a case report. Surg Case Rep 2022; 8:118. [PMID: 35723761 PMCID: PMC9209544 DOI: 10.1186/s40792-022-01473-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Accepted: 06/13/2022] [Indexed: 12/02/2022] Open
Abstract
Background Liposarcoma is one of the most common soft tissue sarcomas, but is extremely rarely found in the esophagus. There have been no reports of esophageal liposarcoma together with superficial carcinoma of the esophagus. Here, we report a patient who underwent complete resection of esophageal liposarcoma with carcinoma via a cervical approach. Case presentation A 66-year-old man was diagnosed with an esophageal tumor 11 years ago, but he left it untreated. He presented to our hospital with progressive dysphagia and appetite loss since the previous year. Esophagogastroduodenoscopy (EGD) showed a large pedunculated submucosal tumor (SMT) originating at the esophageal entrance, extending to the gastroesophageal junction. Additionally, there was a superficial carcinoma on the surface of the SMT, 30 cm from the incisor teeth. Three-dimensional computed tomography (3D-CT) showed a giant elongated intraluminal tumor extending downwards from the cervical esophagus. We diagnosed a giant esophageal polyp accompanied by a superficial carcinoma and performed tumor resection via a cervical approach. The excised specimen consisted of a 23.0 × 8.5 cm polypoid mass. The final diagnosis by histopathological and immunohistochemical examination was well-differentiated liposarcoma and esophageal squamous cell carcinoma. He was discharged on postoperative day 14 with drastic improvement in his swallowing ability. Conclusion We reported an extremely rare case of esophageal liposarcoma together with esophageal squamous cell carcinoma that was successfully resected through a small cervical incision.
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5
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Morita Y, Yoshio T, Nakano K, Shimbashi W, Imamura Y. Emergent endoscopic submucosal dissection for a polypoid fibroadipose tumor accidentally disgorged from the mouth: an organ-preserving minimally invasive treatment. VIDEOGIE : AN OFFICIAL VIDEO JOURNAL OF THE AMERICAN SOCIETY FOR GASTROINTESTINAL ENDOSCOPY 2022; 8:50-52. [PMID: 36820261 PMCID: PMC9938308 DOI: 10.1016/j.vgie.2022.09.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Video 1The yellow protruded lesion at the larynx is different from the main lesion.
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Affiliation(s)
- Yuki Morita
- Department of Gastroenterology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan
| | - Toshiyuki Yoshio
- Department of Gastroenterology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan
| | - Kaoru Nakano
- Department of Pathology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan,Division of Pathology, Cancer Institute, Japanese Foundation for Cancer Research, Tokyo, Japan
| | - Wataru Shimbashi
- Department of Head and Neck, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan
| | - Yu Imamura
- Department of Gastroenterological Surgery, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan
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6
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Giant pedunculated liposarcoma of the esophagus. Eur Surg 2022. [DOI: 10.1007/s10353-022-00764-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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7
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Ma S, Huang K, Zheng Y. Giant esophageal liposarcoma diagnosed by endoscopic ultrasound. J Med Ultrasound 2022; 30:149-152. [PMID: 35832370 PMCID: PMC9272709 DOI: 10.4103/jmu.jmu_3_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2021] [Revised: 02/22/2021] [Accepted: 05/10/2021] [Indexed: 11/05/2022] Open
Abstract
We report a case of giant well-differentiated esophageal liposarcoma in a Chinese patient. Liposarcoma is a common soft tissue malignant tumor that usually arises in the lower extremities, trunk, and the retroperitoneum, but it is very rare that liposarcoma locates in the gastrointestinal tract, especially in the esophagus. Endoscopic ultrasound could be an efficient tool for preliminary examination. Moreover, the patient underwent combined thoraco-laparoscopic surgery, after reviewing the published articles, this surgery was first applied in the excision of esophageal liposarcoma due to the detailed preoperative information from the ultrasound technique.
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8
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A giant esophageal liposarcoma radically resected by the cervical approach: a case report. Clin J Gastroenterol 2021; 15:71-76. [PMID: 34743312 DOI: 10.1007/s12328-021-01550-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Accepted: 10/28/2021] [Indexed: 10/19/2022]
Abstract
Primary esophageal liposarcoma is an extremely rare malignancy, whereas liposarcoma is one of the most common soft tissue sarcomas, which develop mainly in the soft tissues of the extremities and retroperitoneum. A rare case of giant esophageal liposarcoma that originated from the cervical esophagus that was successfully excised by a cervical approach is reported. A 72-year-old woman presented with difficulty swallowing for 6 months. Esophagogastroduodenoscopy showed a pedunculated esophageal submucosal tumor arising just below the pyriform fossa in the esophagus. Contrast-enhanced computed tomography showed a giant, heterogeneous, intraluminal esophageal tumor from the cervical esophagus to the upper thoracic esophagus for approximately 17 cm. Based on the imaging findings, an esophageal liposarcoma was suspected. Since the symptom of dysphagia was gradually worsening, surgical treatment was planned. The giant esophageal tumor was successful resected through a cervical approach without either thoracotomy or laparotomy. The patient's postoperative course was uneventful, and she was discharged on day 15 after surgery. The histopathological and immunohistological findings showed well-differentiated esophageal liposarcoma, 15 × 7 × 5 cm in size. A cervical approach is an appropriate option for a tumor that developed at the cervical esophagus as a minimally invasive surgical technique.
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9
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Cheng YT, Wu PH, Chuang SC, Liang PI. Dedifferentiated liposarcoma of the gallbladder. Kaohsiung J Med Sci 2020; 36:1040-1041. [PMID: 32783326 DOI: 10.1002/kjm2.12295] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2020] [Revised: 07/18/2020] [Accepted: 07/21/2020] [Indexed: 01/08/2023] Open
Affiliation(s)
- Yung-Tsung Cheng
- Department of Clinical education and training, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.,Kaohsiung Medical University, Kaohsiung, Taiwan
| | - Po-Hsuan Wu
- Kaohsiung Medical University, Kaohsiung, Taiwan.,Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
| | - Shih-Chang Chuang
- Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
| | - Peir-In Liang
- Kaohsiung Medical University, Kaohsiung, Taiwan.,Department of Pathology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
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10
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Businello G, Dal Pozzo CA, Sbaraglia M, Mastracci L, Milione M, Saragoni L, Grillo F, Parente P, Remo A, Bellan E, Cappellesso R, Pennelli G, Michelotto M, Fassan M. Histopathological landscape of rare oesophageal neoplasms. World J Gastroenterol 2020; 26:3865-3888. [PMID: 32774063 PMCID: PMC7385561 DOI: 10.3748/wjg.v26.i27.3865] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2020] [Revised: 06/19/2020] [Accepted: 07/04/2020] [Indexed: 02/06/2023] Open
Abstract
The landscape of neoplastic pathology of the oesophagus is dominated by malignancies of epithelial origin, in particular by oesophageal adenocarcinoma and oesophageal squamous cell carcinoma. However, several other histopathological variants can be distinguished, some associated with peculiar histopathological profiles and prognostic behaviours and frequently underrecognized in clinical practice. The aim of this review is to provide a comprehensive characterization of the main morphological and clinical features of these rare variants of oesophageal neoplastic lesions.
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Affiliation(s)
- Gianluca Businello
- Department of Medicine (DIMED), Surgical Pathology and Cytopathology Unit, University of Padua, Padua 35121, Italy
| | - Carlo Alberto Dal Pozzo
- Department of Medicine (DIMED), Surgical Pathology and Cytopathology Unit, University of Padua, Padua 35121, Italy
| | - Marta Sbaraglia
- Department of Medicine (DIMED), Surgical Pathology and Cytopathology Unit, University of Padua, Padua 35121, Italy
| | - Luca Mastracci
- Department of Surgical and Diagnostic Sciences (DISC), Pathology Unit, University of Genova, Genova 16123, Italy
| | - Massimo Milione
- Department of Pathology and Laboratory Medicine, First Pathology Division, Fondazione IRCCS - Istituto Nazionale dei Tumori, Milan 20133, Italy
| | - Luca Saragoni
- Pathology Unit, Morgagni-Pierantoni Hospital, Forlì 47121, Italy
| | - Federica Grillo
- Department of Surgical and Diagnostic Sciences (DISC), Pathology Unit, University of Genova, Genova 16123, Italy
| | - Paola Parente
- Pathology Unit, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo 71013, Italy
| | - Andrea Remo
- Department of Pathology, Ospedale Mater Salutis di Legnago, Legnago 37045, Italy
| | - Elena Bellan
- Department of Medicine (DIMED), Surgical Pathology and Cytopathology Unit, University of Padua, Padua 35121, Italy
| | - Rocco Cappellesso
- Department of Medicine (DIMED), Surgical Pathology and Cytopathology Unit, University of Padua, Padua 35121, Italy
| | - Gianmaria Pennelli
- Department of Medicine (DIMED), Surgical Pathology and Cytopathology Unit, University of Padua, Padua 35121, Italy
| | - Mauro Michelotto
- Department of Medicine (DIMED), Surgical Pathology and Cytopathology Unit, University of Padua, Padua 35121, Italy
| | - Matteo Fassan
- Department of Medicine (DIMED), Surgical Pathology and Cytopathology Unit, University of Padua, Padua 35121, Italy
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11
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Ye YW, Liao MY, Mou ZM, Shi XX, Xie YC. Thoracoscopic resection of a huge esophageal dedifferentiated liposarcoma: A case report. World J Clin Cases 2020; 8:1698-1704. [PMID: 32420304 PMCID: PMC7211538 DOI: 10.12998/wjcc.v8.i9.1698] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/26/2020] [Revised: 04/09/2020] [Accepted: 04/16/2020] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Esophageal liposarcoma is a rare malignant tumor and an esophageal dedifferentiated liposarcoma (DDL) is extremely rare. There are no reports on the treatment of DDL by thoracoscopic surgery.
CASE SUMMARY A 38-year-old woman presented with dysphagia and dyspnea. Imaging examination showed a large mass in the posterior mediastinum. The patient also developed respiratory failure and it was unclear whether this was caused by a mass from inside or outside the esophagus. We decided to perform thoracoscopic exploration to relieve the obstruction caused by tracheal compression. The upper segment of the esophagus was split longitudinally, and most of the mass could be removed from the esophageal lumen to the thoracic cavity. The pedicle was excised by linear cutting closers under mirrors. Little residual mass was visualized by gastroscopy. The mucous and muscular layers were closed by interrupted sutures. Pathological examination showed that the mass was a DDL. The patient did not have any dysphagia or dyspnea 2 wk postoperatively and refused any further treatment. Computed tomography and esophagoscopy did not find any recurrence at up to 20 mo postoperatively.
CONCLUSION Thoracoscopy can be used to treat large esophageal masses.
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Affiliation(s)
- Yi-Wang Ye
- Department of Thoracic Surgery, Peking University Shenzhen Hospital, Shenzhen 518036, Guangdong Province, China
| | - Meng-Ying Liao
- Department of Pathology, Peking University Shenzhen Hospital, Shenzhen 518036, Guangdong Province, China
| | - Zhi-Min Mou
- Department of Thoracic Surgery, Peking University Shenzhen Hospital, Shenzhen 518036, Guangdong Province, China
| | - Xiao-Xin Shi
- Department of Pathology, Peking University Shenzhen Hospital, Shenzhen 518036, Guangdong Province, China
| | - Yuan-Cai Xie
- Department of Thoracic Surgery, Peking University Shenzhen Hospital, Shenzhen 518036, Guangdong Province, China
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12
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Ng YA, Lee J, Zheng XJ, Nagaputra JC, Tan SH, Wong SA. Giant pedunculated oesophageal liposarcomas: A review of literature and resection techniques. Int J Surg Case Rep 2019; 64:113-119. [PMID: 31630086 PMCID: PMC6806403 DOI: 10.1016/j.ijscr.2019.10.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2019] [Accepted: 10/01/2019] [Indexed: 12/14/2022] Open
Abstract
Giant oesophageal liposarcomas, a rare but important cause of oesophageal tumours. A review of the current literature focusing on resection techniques. Shift in the treatment paradigm in recent years to endoscopic resection techniques. Decision on type of resection technique depends on tumour characteristics and location.
Introduction and presentation of case Liposarcomas are rare causes of oesophageal tumours, accounting for <1% of tumours. We present a case of a dedifferentiated oesophageal liposarcoma arising from a giant fibrovascular polyp for which resection was performed via a left cervical oesophagostomy with transgastric retrieval of tumour. We also review the existing literature focusing on discussion of resection techniques. Discussion To date, 62 cases of oesophageal liposarcoma have been reported in the literature. They usually occur in males (74.2%), with a median age of 66 years (range 38–84 years). Such tumours present most commonly with dysphagia (69.4%); usually arise from the cervical oesophagus (79%), and are well-differentiated. Treatment options include surgery and recently, endoscopic resection techniques such as submucosal dissection (ESD). Conclusion Giant oesophageal liposarcomas are very rare tumours. Such tumours are usually polypoid, arising from a pedicle. As such, resection techniques have shifted away from oesophagectomy to less invasive means such as endoscopic resection or oesophagostomy. Decision on type of resection technique depends on tumour characteristics and location; with the guiding principle being resection with clear margins in order to prevent local recurrence.
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Affiliation(s)
- Y Annalisa Ng
- Department of General Surgery, Changi General Hospital, Singapore.
| | - June Lee
- Department of General Surgery, Changi General Hospital, Singapore
| | - X J Zheng
- Department of General Surgery, Changi General Hospital, Singapore
| | - J C Nagaputra
- Department of Pathology, Changi General Hospital, Singapore
| | - S H Tan
- Department of Pathology, Changi General Hospital, Singapore
| | - S A Wong
- Department of General Surgery, Changi General Hospital, Singapore
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13
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Smith AI, Went TR, Gaskin D, Maynard CA, Edwards CN. Atypical lipomatous tumour of the oesophagus. J Surg Case Rep 2019; 2019:rjz192. [PMID: 31231502 PMCID: PMC6582405 DOI: 10.1093/jscr/rjz192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2019] [Revised: 05/29/2019] [Accepted: 06/05/2019] [Indexed: 11/14/2022] Open
Abstract
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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Affiliation(s)
- Alan I Smith
- University of the West Indies, Cave Hill Campus, Consultant Cardiothoracic Surgeon, The Queen Elizabeth Hospital, Bridgetown, Barbados
| | - Terry R Went
- Department of Cardiovascular Services, The Queen Elizabeth Hospital, Bridgetown, Barbados
| | - David Gaskin
- The Queen Elizabeth Hospital, Bridgetown, Barbados
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14
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Molimard C, Vuitton L, Boulahdour Z, Koch S, Chaigneau L, Mathieu P, Valmary-Degano S. Polypes œsophagiens : le polype géant fibrovasculaire de l’œsophage n’existe plus ! Ann Pathol 2019; 39:221-226. [DOI: 10.1016/j.annpat.2019.02.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2018] [Revised: 11/23/2018] [Accepted: 02/22/2019] [Indexed: 02/07/2023]
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15
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Parikh MP, Chandran A, Satiya J, Raja S, Sanaka MR. Dedifferentiated Liposarcoma in a Giant Esophageal Polyp: A Case Report and Review of the Literature. Cureus 2019; 11:e4480. [PMID: 31249757 PMCID: PMC6579326 DOI: 10.7759/cureus.4480] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023] Open
Abstract
Soft tissue sarcomas represent an extremely rare cause of esophageal masses, and undifferentiated sarcomas are rarer. The proportion of dedifferentiated liposarcomas (DDL) is even lower. The case of a 58-year-old male who complained of dysphagia and was found to have an 18-centimeter long esophageal mass/polyp on esophagogastroduodenoscopy is presented. The lesion was resected endoscopically and a diagnosis of DDL was confirmed by fluorescence in situ hybridization. Due to its rarity, the treatment experience with esophageal DDLs is limited. However, based on our experience, endoscopic resection of the lesion can be considered as the treatment of choice when feasible. We performed a review of the literature to identify and analyze similar reported cases.
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Affiliation(s)
- Malav P Parikh
- Gastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, USA
| | - Aswathi Chandran
- Gastroenterology, Hepatology and Nutrition, University of Texas Health Science Center at Houston, Houston, USA
| | - Jinendra Satiya
- Internal Medicine, University of Miami, John F Kennedy Medical Center, Atlantis, USA
| | - Siva Raja
- Thoracic Surgery, Cleveland Clinic Foundation, Cleveland, USA
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16
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Ben Safta Y, Souai F, Maatouk M, Zehani A, Mabrouk A, Daldoul S, Sayari S, Haout K, Ben Moussa M. Myxoid esophageal liposarcoma: A case report of a rare tumor. Int J Surg Case Rep 2019; 60:69-71. [PMID: 31207528 PMCID: PMC6580014 DOI: 10.1016/j.ijscr.2019.04.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2019] [Revised: 03/26/2019] [Accepted: 04/03/2019] [Indexed: 11/22/2022] Open
Abstract
Esophagealliposarcoma represent a rare cause of esophagealtumor. We present a case of liposarcomain the low oesophagus treated by surgical resection. There is no conventional treatment of this pathology. The curative treatment requires surgical resection orendoscopic approach for selected tumor.
Introduction Esophageal liposarcoma represent a rare cause of esophageal tumor. According to the literature, since the first case reported in 1983, only 42 cases of esophageal liposarcoma were reported. Presentation of case We present a case of liposarcoma in the lower oesophagus treated by surgical resection. Discussion Liposarcoma in the oesophagus gastrointestinal tract is an uncommon. An analysis of the literature reports 42 cases.In many cases the diagnosis was established in postoperative period.Surgery is the standard treatment including polypectomy, total or subtotal oesophagectomy. Conclusion There is no conventional treatment of this pathology. The curative treatment requires surgical resection or endoscopic approach for selected tumor.
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Affiliation(s)
- Y Ben Safta
- Surgery A 21 Department, Charles Nicolles hospital, Faculty of Medicine of Tunis, Tunis El Manar University, Tunisia.
| | - F Souai
- Surgery A 21 Department, Charles Nicolles hospital, Faculty of Medicine of Tunis, Tunis El Manar University, Tunisia
| | - M Maatouk
- Surgery A 21 Department, Charles Nicolles hospital, Faculty of Medicine of Tunis, Tunis El Manar University, Tunisia
| | - A Zehani
- Anatomopathology Departement, Rabta Hospital, Faculty of Medicine of Tunis, Tunis El Manar University, Tunisia
| | - A Mabrouk
- Surgery A 21 Department, Charles Nicolles hospital, Faculty of Medicine of Tunis, Tunis El Manar University, Tunisia
| | - S Daldoul
- Surgery A 21 Department, Charles Nicolles hospital, Faculty of Medicine of Tunis, Tunis El Manar University, Tunisia
| | - S Sayari
- Surgery A 21 Department, Charles Nicolles hospital, Faculty of Medicine of Tunis, Tunis El Manar University, Tunisia
| | - K Haout
- Surgery A 21 Department, Charles Nicolles hospital, Faculty of Medicine of Tunis, Tunis El Manar University, Tunisia
| | - M Ben Moussa
- Surgery A 21 Department, Charles Nicolles hospital, Faculty of Medicine of Tunis, Tunis El Manar University, Tunisia
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Eyermann C, Raguin T, Hemar P, Debry C. Well-differentiated, pedunculated liposarcoma of the hypopharynx. Eur Ann Otorhinolaryngol Head Neck Dis 2017; 135:63-65. [PMID: 28760617 DOI: 10.1016/j.anorl.2017.07.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
INTRODUCTION Liposarcoma of the hypopharynx is extremely rare, as only 28 cases have been reported in the literature. The cardinal symptom of liposarcoma is progressively worsening dysphagia. CASE REPORT The authors report the case of a 71-year-old man who presented with dysphagia, marked weight loss over several weeks and an episode of exteriorization of a solid mass from the mouth during an episode of vomiting. Imaging revealed a fat density intra-oesophageal mass. Panendoscopy and upper gastrointestinal endoscopy visualized the pedunculated tumour in the left piriform sinus, which was able to be exteriorized via the mouth. The tumour was then resected endoscopically at its hypopharyngeal insertion pedicle. Histological examination of the operative specimen concluded on well-differentiated benign liposarcoma. DISCUSSION Well-differentiated liposarcoma is the most common form of liposarcoma, but is only exceptionally reported in the hypopharynx. The main symptoms are related to compression of adjacent structures. Imaging findings are nonspecific. Only histological examination can distinguish liposarcoma from other benign oesophageal tumours. Standard treatment consists of wide, complete resection, which is not always possible in the neck. Long-term follow-up of these patients is essential in order to rapidly detect recurrence.
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Affiliation(s)
- C Eyermann
- Service d'ORL et de chirurgie cervico-faciale, HUS, hôpital de Hautepierre, avenue Molière, 67000 Strasbourg, France.
| | - T Raguin
- Service d'ORL et de chirurgie cervico-faciale, HUS, hôpital de Hautepierre, avenue Molière, 67000 Strasbourg, France
| | - P Hemar
- Service d'ORL et de chirurgie cervico-faciale, HUS, hôpital de Hautepierre, avenue Molière, 67000 Strasbourg, France
| | - C Debry
- Service d'ORL et de chirurgie cervico-faciale, HUS, hôpital de Hautepierre, avenue Molière, 67000 Strasbourg, France
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