Spindle cell lipoma of the esophagus

Esophageal lipomas are benign tumors representing less than 0.5% of all gastrointestinal lipomas. They are typically detected incidentally but occasionally present with local symptoms and rarely with life-threatening complications. We describe a case of a 60-year-old man with progressive dysphagia a...

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Bibliographic Details
Published in:European journal of cardio-thoracic surgery 2009-03, Vol.35 (3), p.542-543
Main Authors: Razzak, Rene, Bédard, Eric L.R., Hunt, Ian, Satkunam, Niranjala
Format: Article
Language:English
Subjects:
Asphyxia - diagnostic imaging
Asphyxia - etiology
Biological and medical sciences
Cardiology. Vascular system
Contrast Media
Esophageal Neoplasms - diagnostic imaging
Esophageal Neoplasms - pathology
Esophagus
Humans
Lipoma
Lipoma - diagnostic imaging
Lipoma - pathology
Male
Medical sciences
Middle Aged
Pneumology
Spindle cell lipoma
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Tomography, X-Ray Computed
Vomiting - complications
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Description
Summary:Esophageal lipomas are benign tumors representing less than 0.5% of all gastrointestinal lipomas. They are typically detected incidentally but occasionally present with local symptoms and rarely with life-threatening complications. We describe a case of a 60-year-old man with progressive dysphagia and weight loss, who presented with several episodes of near asphyxiation secondary to regurgitation and aspiration of the pedunculated mass. Preoperative investigations included a barium meal, esophagoscopy and computerized tomography. The pedunculated lipoma was excised via a cervical approach and found, at final pathology, to be a spindle cell lipoma, a rare variant not previously described in relation to the esophagus.
ISSN:1010-7940
1873-734X
DOI:10.1016/j.ejcts.2008.11.016