A Pedunculated Giant Esophageal Liposarcoma: a Case Report and Literature Review

Dowli, Alexander; Mattar, Adel G.; Mashimo, Hiroshi; Huang, Qin; Cohen, D.; Fisichella, P. Marco; Lebenthal, Abraham

doi:10.1007/s11605-014-2628-8

Cited by 18 publications

(19 citation statements)

References 34 publications

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“…Primary esophageal liposarcomas are rare, with only 42 cases being reported in English-language literature as of August 2016[1]. Histologically, liposarcomas can be further classified into 4 subtypes based on their degree of differentiation: Dedifferentiated, well-differentiated, myxoid, or pleomorphic[2].…”

Section: Introductionmentioning

confidence: 99%

Esophageal liposarcoma: Well-differentiated rhabdomyomatous type

Valiuddin

Barbetta

Mungo

et al. 2016

WJGO

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Rhabdomyomatous well-differentiated esophageal liposarcomas are extremely rare. As of August 2016, only one other such case has been reported in the English-language medical literature. Liposarcomas in general are one of the most common soft tissue neoplasms in adults, but the incidence of primary esophageal liposarcomas is exceptionally low. There have been only 42 reported cases of primary liposarcoma of the esophagus worldwide thus far. These malignancies are harbored within giant fibrovascular polyps, which slowly grow within the esophageal lumen causing obstructing symptoms. We hereby present the case of a 68-year-old male patient who came in with a 2-mo history of worsening intermittent dysphagia, persistent cough, and postprandial retrosternal pain. After an esophagogastroduodenoscopy, a computed tomographic scan, and a diagnostic endoscopy, complete endoscopic resection was performed of the 13 cm × 6 cm × 2.6 cm fibrovascular polyp. A literature review was done and results are presented herein.

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Section: Introductionmentioning

confidence: 99%

Esophageal liposarcoma: Well-differentiated rhabdomyomatous type

Valiuddin

Barbetta

Mungo

et al. 2016

WJGO

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“…A giant thoracic neoplasm is extremely rare and has only occasionally been cited in the literature, usually in single cases . To our knowledge, only one previous has reported conclusions after surgical treatment .…”

Section: Discussionmentioning

confidence: 94%

“…A giant thoracic neoplasm is extremely rare and has only occasionally been cited in the literature, usually in single cases. [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] To our knowledge, only one previous has reported conclusions after surgical treatment. 26 Our retrospective study of 45 patients showed the complexity and heterogeneity of giant thoracic neoplasm through clinical characteristics, imaging manifestations, surgical management, pathology, and prognosis.…”

Section: Discussionmentioning

confidence: 99%

Analysis of giant thoracic neoplasms: Correlations between imaging, pathology and surgical management

et al. 2017

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BackgroundA giant thoracic neoplasm is extremely rare and poorly understood. Our systemic study introduced computed tomography angiography (CTA) with three‐dimensional (3D) reconstruction imaging and evaluated correlations between imaging, pathology, and surgical management.MethodsData from 45 patients undergoing surgery for giant thoracic neoplasm in our institution between May 2007 and November 2015 were collected. The clinical characteristics, imaging manifestations, preoperative biopsy, surgical management, postoperative pathology, and prognosis and their correlation were analyzed.ResultsThe clinical characteristics, imaging manifestations, and pathological types were complicated. Four patients underwent CTA with 3D reconstruction imaging and feeding vessels were found in three cases. Twenty‐four selected patients accepted preoperative biopsy, eight of which were inconsistent with postoperative pathology. Complete resection was performed in 39 cases, 20 of which underwent extended excision. The median survival duration of all patients was 58 months (range 3.0–118.0). The one, three, and five‐year survival rates were 86.0%, 64.4%, and 47.0%, respectively. Univariate analyses showed tumor size and resection status were prognostic factors for survival (P = 0.003 and P < 0.001, respectively).ConclusionsA giant thoracic neoplasm should preferably be treated in experienced centers for precise diagnosis and optimal therapy schemes with comprehensive consideration of clinical characters, imaging manifestations, pathology, surgical management, and prognosis. Innovative CTA with 3D reconstruction imaging together with preoperative biopsy are feasible and effective in therapeutic decision‐making and surgical planning. Complete surgical resection remains the mainstay of curative therapy for all resectable tumors.

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“…Background: Liposarcomas are rare mesenchymal malignancies. Oesophageal liposarcomas (OLSs) are extremely rare, with approximately 40 cases reported in the medical literature[ 99 ]. OLSs seem to occur preferably in middle-aged to elderly male patients[ 99 ].…”

Section: Rare Primitive Oesophageal Malignant Tumours Of Non-epithelimentioning

confidence: 99%

“…Oesophageal liposarcomas (OLSs) are extremely rare, with approximately 40 cases reported in the medical literature[ 99 ]. OLSs seem to occur preferably in middle-aged to elderly male patients[ 99 ]. OLSs can be classified into three subtypes: (1) Well-differentiated and dedifferentiated liposarcoma (WDLS/DDLS); (2) Myxoid liposarcoma (MLS); and (3) Pleomorphic liposarcoma (PLS)[ 100 ].…”

Section: Rare Primitive Oesophageal Malignant Tumours Of Non-epithelimentioning

confidence: 99%

Histopathological landscape of rare oesophageal neoplasms

Businello

Pozzo

Sbaraglia

et al. 2020

WJG

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The landscape of neoplastic pathology of the oesophagus is dominated by malignancies of epithelial origin, in particular by oesophageal adenocarcinoma and oesophageal squamous cell carcinoma. However, several other histopathological variants can be distinguished, some associated with peculiar histopathological profiles and prognostic behaviours and frequently underrecognized in clinical practice. The aim of this review is to provide a comprehensive characterization of the main morphological and clinical features of these rare variants of oesophageal neoplastic lesions.

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A Pedunculated Giant Esophageal Liposarcoma: a Case Report and Literature Review

Cited by 18 publications

References 34 publications

Esophageal liposarcoma: Well-differentiated rhabdomyomatous type

Esophageal liposarcoma: Well-differentiated rhabdomyomatous type

Analysis of giant thoracic neoplasms: Correlations between imaging, pathology and surgical management

Histopathological landscape of rare oesophageal neoplasms

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