Pedunculated liposarcoma of the esophagus

Polypoid tumors of the esophagus present diagnostic and therapeutic problems. Liposarcomas are infrequent among them. We report a recent case. A 73-year-old male patient was seen in May 1995 in the Ear, Nose and Throat (ENT) Department, Clínica Modelo de Morón, with intermittent dysphagia and dyspno...

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Bibliographic Details
Published in:Diseases of the esophagus 1998-01, Vol.11 (1), p.68
Main Authors: Salis, G B, Albertengo, J C, Bruno, M, Palau, G, González Villaveirán, R, Lombardo, D, Villafañe, V, Zorraquín, C, Ghigliani, M
Format: Article
Language:English
Subjects:
Aged
Esophageal Neoplasms - diagnosis
Esophageal Neoplasms - surgery
Humans
Liposarcoma - diagnosis
Liposarcoma - surgery
Male
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Summary:Polypoid tumors of the esophagus present diagnostic and therapeutic problems. Liposarcomas are infrequent among them. We report a recent case. A 73-year-old male patient was seen in May 1995 in the Ear, Nose and Throat (ENT) Department, Clínica Modelo de Morón, with intermittent dysphagia and dyspnoea due to recurrent vomiting. A laryngeal lineal tomography showed a subglottic obstruction due to extrinsic compression. The patient was referred to the Gastroenterology Department, where an upper gastrointestinal (upper GI) series demonstrated mega-esophagus with abundant retained food. Endoscopy showed a large intraluminal mass covered by normal mucosa which arose on the posterior wall. Videofluoroscopy and chest CT diagnosed a probable polypoid lipoma due to its densitometric characteristics. The tumour was resected by left cervicotomy and left esophagotomy. The patient's progress to date is favourable. Pathology studies showed a well-differentiated liposarcoma. According to the literature, the first case was reported in 1983, and ours is only the seventh case in the world to be documented.
ISSN:1120-8694