Surgical resection of a massive primary mediastinal liposarcoma with cervical extension

A 73-year-old man was referred for surgical excision of a massive mediastinal and cervical liposarcoma following neoadjuvant chemotherapy. Surgery was performed via a cervical incision, sternotomy and right posterolateral thoracotomy. The tumour arose from the oesophagus, which underwent extensive d...

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Bibliographic Details
Published in:Annals of the Royal College of Surgeons of England 2018-02, Vol.100 (2), p.e22-e27
Main Authors: Weaver, H L, Preston, S D, Wong, H H, Jani, P, Coonar, A S
Format: Article
Language:English
Subjects:
Accounting
Aged
Chemotherapy
Dissection
Esophageal Neoplasms - diagnosis
Esophageal Neoplasms - pathology
Esophageal Neoplasms - surgery
Family medical history
Histology
Hospitals
Humans
Liposarcoma - diagnosis
Liposarcoma - pathology
Liposarcoma - surgery
Male
Mediastinal Neoplasms - diagnosis
Mediastinal Neoplasms - pathology
Mediastinal Neoplasms - surgery
Neck
Online Case Report
Ostomy
Surgery
Thoracic surgery
Tumors
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Summary:A 73-year-old man was referred for surgical excision of a massive mediastinal and cervical liposarcoma following neoadjuvant chemotherapy. Surgery was performed via a cervical incision, sternotomy and right posterolateral thoracotomy. The tumour arose from the oesophagus, which underwent extensive dissection and was oversewn with pleura after tumour resection. Histology confirmed a completely excised grade 2 de-differentiated liposarcoma with complete macroscopic excision. The patient made an excellent recovery. Oesophageal liposarcomas are rare and, unlike in this case, often extend intraluminally, necessitating oesophagectomy. To our knowledge, this is the largest such tumour found in the literature.
ISSN:0035-8843
1478-7083
DOI:10.1308/rcsann.2017.0163