title: Giant Cervico-mediastinal Well-differentiated Liposarcoma.
abstract: Liposarcomas are rare entities and those located in the neck and mediastinum are exceptional. We report the case of a 58 year-old Caucasian male who presented with dysphonia, mild dysphagia to solids, dyspnoea at exertion and cough due to a giant mass of the neck originating from the deep cervical space at C6 vertebral level spreading into the posterior mediastinum. The lesion, that was associated with a right vocal cord palsy, caused severe lateral displacement of the trachea and oesophagus. The case has been managed by complete surgical resection through a combined cervical and thoracic approach associated with a tracheostomy due to the risk of bilateral recurrent nerve dysfunction at the end of the intervention. The tumour was diagnosed as a encapsulated low-grade liposarcoma. Six months after surgery the tracheostomy was closed. At 24 months clinical and radiological follow-up the patient is doing well and disease free.
authors.affiliation: Thoracic Surgery Unit, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria "Maggiore della Carità", Novara, Italy.
authors.forename: Ottavio
authors.initials: O
authors.lastname: Rena
authors.affiliation: Thoracic Surgery Unit, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria "Maggiore della Carità", Novara, Italy. Electronic address: fab_78_16l@hotmail.com.
authors.forename: Fabio
authors.initials: F
authors.lastname: Davoli
authors.affiliation: ORL Unit, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria "Maggiore della Carità", Novara, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Pia
authors.affiliation: Thoracic Surgery Unit, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria "Maggiore della Carità", Novara, Italy.
authors.forename: Alberto
authors.initials: A
authors.lastname: Roncon
authors.affiliation: Thoracic Surgery Unit, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria "Maggiore della Carità", Novara, Italy.
authors.forename: Esther
authors.initials: E
authors.lastname: Papalia
authors.affiliation: Thoracic Surgery Unit, University of Eastern Piedmont, Azienda Ospedaliero-Universitaria "Maggiore della Carità", Novara, Italy.
authors.forename: Caterina
authors.initials: C
authors.lastname: Casadio
mesh_terms: D006258:Head and Neck Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008080:Liposarcoma / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008479:Mediastinal Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary / Q000601:surgery; D008875:Middle Aged; D011859:Radiography
keywords: Liposarcoma; Mediastinum; Neck; Soft tissue tumour; Surgery