Valiuddin Hisham M, Barbetta Arianna, Mungo Benedetto, Montgomery Elizabeth A, Molena Daniela
Hisham M Valiuddin, Lake Erie College of Osteopathic Medicine Bradenton, Bradenton, FL 34211, United States.
World J Gastrointest Oncol. 2016 Dec 15;8(12):835-839. doi: 10.4251/wjgo.v8.i12.835.
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.
横纹肌样分化良好的食管脂肪肉瘤极为罕见。截至2016年8月，英文医学文献中仅报道过1例此类病例。脂肪肉瘤总体上是成人最常见的软组织肿瘤之一，但原发性食管脂肪肉瘤的发病率极低。迄今为止，全球仅报道过42例食管原发性脂肪肉瘤病例。这些恶性肿瘤存在于巨大纤维血管息肉内，息肉在食管腔内缓慢生长，导致梗阻症状。我们在此报告1例68岁男性患者，其因间歇性吞咽困难加重、持续咳嗽和餐后胸骨后疼痛2个月前来就诊。经过食管胃十二指肠镜检查、计算机断层扫描和诊断性内镜检查后，对13 cm×6 cm×2.6 cm的纤维血管息肉进行了完整的内镜切除。我们进行了文献回顾，并在此展示结果。
