Giant liposarcoma of the esophagus: A case report

Liposarcomas rarely develop in the aerodigestive tract.Here,we present a primary esophageal liposarcoma that was discovered between the T3 and T7 levels of the esophagus during right pleural exploration of a 51-year-old male patient.The patient had presented with non-specific symptoms,including prog...

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Published inWorld journal of gastroenterology : WJG Vol. 21; no. 33; pp. 9827 - 9832
Main Authors Lin, Zhi-Chao, Chang, Xiang-Zhen, Huang, Xiu-Fang, Zhang, Chun-Lai, Yu, Geng-Sheng, Wu, Shuo-Yun, Ye, Min, He, Jian-Xing
Format Journal Article
LanguageEnglish
Published United States Baishideng Publishing Group Inc 07.09.2015
Subjects
Achalasia;Esophagectomy;Esophagus;Liposarcoma
Biomarkers, Tumor - analysis
Biopsy
Case Report
Cell Differentiation
Esophageal Neoplasms - chemistry
Esophageal Neoplasms - pathology
Esophageal Neoplasms - surgery
Esophagectomy
Esophagoscopy
Humans
Immunohistochemistry
Liposarcoma - chemistry
Liposarcoma - pathology
Liposarcoma - surgery
Male
Middle Aged
Tomography, X-Ray Computed
Treatment Outcome
Tumor Burden
Esophagectomy
Achalasia
Liposarcoma
Esophagus
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Summary:Liposarcomas rarely develop in the aerodigestive tract.Here,we present a primary esophageal liposarcoma that was discovered between the T3 and T7 levels of the esophagus during right pleural exploration of a 51-year-old male patient.The patient had presented with non-specific symptoms,including progressive dysphagia over the previous 6 mo,without complaints of chest or epigastric pain,regurgitation,or weight loss.A radical three-hole esophagectomy was performed.The tumor was extremely large(14 cm × 7.0 cm × 6.5 cm),but completely encapsulated.Upon histological examination,the tumor was diagnosed as a giant,well-differentiated esophageal liposarcoma with a dedifferentiated component.Non-specific radiological and endoscopic results during the clinical work-up delayed diagnosis until post-operative histology was performed.In this report,the clinical,radiological and endoscopic diagnostic challenges specific to the case are discussed,as well as the surgical and pathological findings.
Bibliography:Achalasia;Esophagectomy;Esophagus;Liposarcoma
Liposarcomas rarely develop in the aerodigestive tract.Here,we present a primary esophageal liposarcoma that was discovered between the T3 and T7 levels of the esophagus during right pleural exploration of a 51-year-old male patient.The patient had presented with non-specific symptoms,including progressive dysphagia over the previous 6 mo,without complaints of chest or epigastric pain,regurgitation,or weight loss.A radical three-hole esophagectomy was performed.The tumor was extremely large(14 cm × 7.0 cm × 6.5 cm),but completely encapsulated.Upon histological examination,the tumor was diagnosed as a giant,well-differentiated esophageal liposarcoma with a dedifferentiated component.Non-specific radiological and endoscopic results during the clinical work-up delayed diagnosis until post-operative histology was performed.In this report,the clinical,radiological and endoscopic diagnostic challenges specific to the case are discussed,as well as the surgical and pathological findings.
Zhi-Chao Lin;Xiang-Zhen Chang;Xiu-Fang Huang;Chun-Lai Zhang;Geng-Sheng Yu;Shuo-Yun Wu;Min Ye;Jian-Xing He;Department of Thoracic Surgery,Jiangmen Central Hospital,Affiliated Jiangmen Hospital of Sun Yat-sen University;Editorial Department,Chinese Journal of Microsurgery,the First Affiliated Hospital of Sun Yat-sen University;Department of Pathology,Jiangmen Central Hospital,Affiliated Jiangmen Hospital of Sun Yat-sen University;Department of Respiratory Medicine,Jiangmen Central Hospital,Affiliated Jiangmen Hospital of Sun Yat-sen University;Department of Oncology,Jiangmen Central Hospital,Affiliated Jiangmen Hospital of Sun Yat-sen University;Department of Thoracic Surgery,the First Affiliated Hospital of Guangzhou Medical University
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Correspondence to: Jian-Xing He, MD, PhD, Department of Thoracic Surgery, the First Affiliated Hospital of Guangzhou Medical University, 151 Yanjiang Road West, Guangzhou 510120, Guangdong Province, China. hejx@vip.163.com
Author contributions: He JX designed the study; Zhang CL analyzed the data; Yu GS and Wu SY studied the relevant literature and reviewed the data; Lin ZC and Huang XF wrote the manuscript; Chang XZ and Ye M edited the manuscript and figures.
Telephone: +86-20-83062114 Fax: +86-20-83395651
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v21.i33.9827