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 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.
Razzak
Rene
R
Division of Thoracic Surgery, Department of Surgery, University of Alberta, Edmonton, Alberta, Canada.
Bédard
Eric L R
EL
Hunt
Ian
I
Satkunam
Niranjala
N
D001237:Asphyxia / Q000000981:diagnostic imaging / Q000209:etiology*; D003287:Contrast Media; D004938:Esophageal Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D008067:Lipoma / Q000000981:diagnostic imaging / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014839:Vomiting / Q000150:complications
D003287:Contrast Media