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A pedunculated giant esophageal liposarcoma: a case report and literature review.
[liposarcoma]
The
majority
of
esophageal
tumors
arise
from
the
mucosal
layer
;
only
5
Â
%
are
of
mesenchymal
origins
.
Of
the
latter
,
barely
0
.
5
Â
%
are
liposarcomas
.
We
present
a
case
of
an
esophageal
liposarcoma
with
a
review
of
the
literature
.
A
64
-
year
-old
male
was
referred
with
5
Â
years
of
progressive
dysphagia
.
Preoperative
evaluation
initially
suggested
a
leiomyoma
.
The
polypoid
lesion
was
then
resected
through
a
cervical
esophagotomy
,
once
endoscopic
resection
proved
to
be
not
feasible
.
The
definitive
pathologic
diagnosis
confirmed
a
well-differentiated
liposarcoma
.
Esophageal
liposarcomas
are
very
rare
and
only
40
such
cases
have
been
reported
in
the
literature
.
Most
patients
were
male
(
80
Â
%
)
,
the
median
age
was
62
Â
years
(
range
38
-
83
Â
years
)
,
and
the
most
common
symptom
was
dysphagia
(
85
Â
%
)
.
Only
in
two
cases
was
a
liposarcoma
detected
on
preoperative
biopsy
.
The
most
common
histological
subtype
was
well-differentiated
liposarcoma
.
Overall
,
77
.
5
Â
%
of
the
patients
were
successfully
treated
with
surgery
,
20
Â
%
endoscopically
,
and
2
.
5
Â
%
were
ablated
with
CO
2
laser
.
Esophageal
liposarcoma
is
an
extremely
rare
tumor
.
The
majority
of
patients
are
males
;
dysphagia
is
the
most
common
initial
symptom
,
and
preoperative
biopsy
is
unreliable
.
Because
these
tumors
are
pedunculated
,
well-circumscribed
,
and
well-differentiated
,
they
can
be
safely
resected
locally
.
All
patients
need
long
-term
follow-up
as
this
disease
can
recur
many
decades
after
treatment
.
Diseases
Validation
Diseases presenting
"dysphagia"
symptom
alexander disease
cadasil
cushing syndrome
dedifferentiated liposarcoma
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
familial hypocalciuric hypercalcemia
inclusion body myositis
kindler syndrome
liposarcoma
locked-in syndrome
neuralgic amyotrophy
oligodontia
triple a syndrome
well-differentiated liposarcoma
This symptom has already been validated