“… 13 , 14 Techniques of endoscopic lipoma resection have been proposed to improve the cosmetic result, while allowing the tumor to be resected under endoscopic visualization and adequate hemostasis. 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 In most of these techniques, lipomas are resected in piecemeal, and the tumor is fragmented before it can be determined whether it is benign or malignant. 13 , 14 , 15 , 18 , 21 Endoscopic en-bloc tumor resection has been advocated to obtain a whole block specimen for histological examination.…”