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Kumar A, Ishaqi MSQ, Baig MA, Khan R. Esophageal Liposarcoma: A rare tumor. Pak J Med Sci 2024; 40:S103-S105. [PMID: 38328654 PMCID: PMC10844913 DOI: 10.12669/pjms.40.2(icon).8989] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2023] [Accepted: 11/24/2023] [Indexed: 02/09/2024] Open
Abstract
Esophageal liposarcoma is a rare type of tumor. This case report documents the presentation, diagnosis, and management of a 74-year-old male with a medical history including diabetes mellitus, asthma, and hypertension. The patient's primary complaint was dysphagia, accompanied by regurgitation and substantial weight loss over a six-month period. Diagnostic evaluation revealed a sizable esophageal liposarcoma, which was successfully resected through surgery. Follow-up assessments demonstrated the absence of residual mass. Esophageal liposarcomas, though rare, should be considered in patients presenting with dysphagia or chest discomfort. Surgical resection is the mainstay of treatment, with the recommendation for extended postoperative surveillance given the limited available data regarding long-term prognosis.
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Affiliation(s)
- Ameet Kumar
- Ameet Kumar, MBBS, Resident Radiology, Indus Hospital and Health Network, Karachi, Pakistan
| | - M. Saqib Qamar Ishaqi
- Saqib Qamar Ishaqi, MBBS, FCPS, EDIR, Consultant Radiologist, Indus Hospital and Health Network, Karachi, Pakistan
| | - Mehak Ali Baig
- Mehak Ali Baig, MBBS, Resident Radiology, Indus Hospital and Health Network, Karachi, Pakistan
| | - Rafeah Khan
- Rafeah Khan, MBBS, FCPS, EDIR, Head of Department, Consultant Radiologist, Indus Hospital and Health Network, Karachi, Pakistan
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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: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [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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Duan B, Zhao Y, Ji Q. Endoscopic Submucosal Dissection of a Giant Esophageal Liposarcoma. Dig Dis Sci 2023; 68:3482-3484. [PMID: 37540391 DOI: 10.1007/s10620-023-08024-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Accepted: 06/24/2023] [Indexed: 08/05/2023]
Abstract
We report a rare case of esophageal highly differentiated liposarcoma that was safely removed by endoscopic submucosal dissection.
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Affiliation(s)
- Bo Duan
- Department of Radiology, The Second Affiliated Hospital of Baotou Medical College, Inner Mongolia University of Science and Technology, Baotou, 014030, China
| | - Ying Zhao
- Department of Radiology, The Second Affiliated Hospital of Baotou Medical College, Inner Mongolia University of Science and Technology, Baotou, 014030, China
| | - Qingyu Ji
- Department of Radiology, The Second Affiliated Hospital of Baotou Medical College, Inner Mongolia University of Science and Technology, Baotou, 014030, China.
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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: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [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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