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 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.
Salis
G B
GB
Clínica Modelo de Morón, Buenos Aires, Argentina.
Albertengo
J C
JC
Bruno
M
M
Palau
G
G
González Villaveirán
R
R
Lombardo
D
D
Villafañe
V
V
Zorraquín
C
C
Ghigliani
M
M
D000368:Aged; D004938:Esophageal Neoplasms / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008080:Liposarcoma / Q000175:diagnosis / Q000601:surgery*; D008297:Male