Molimard Chloé, Vuitton Lucine, Boulahdour Zakia, Koch Stéphane, Chaigneau Loïc, Mathieu Pierre, Valmary-Degano Séverine
Service d'anatomie et cytologie pathologiques, CHRU de Besançon, 25030 Besançon, France.
Service de gastrologie-entérologie, CHRU de Besançon, 25030 Besançon, France.
Ann Pathol. 2019 Jun;39(3):221-226. doi: 10.1016/j.annpat.2019.02.011. Epub 2019 Apr 16.
The giant fibrovascular polyp of the esophagus is a rare, benign and typical entity described in 1957. This lesion is easily identifiable in its macroscopic and microscopic aspects. However, recent studies question the existence of the giant fibrovascular polyp of the esophagus. The demonstration of an amplification of the MDM2 gene poses the diagnosis of well-differentiated liposarcoma. We describe here a case of an esophagus polyp in a 67-year-old man. The diagnosis of giant fibrovascular polyp of the esophagus was initially retained. Secondly, the immunohistochemical and fluorescence in situ hybridization techniques showed amplification of the MDM2 gene and reclassified the lesion to a well-differentiated liposarcoma. The search for an undifferentiated contingent is essential to not ignore a dedifferentiated liposarcoma, which is a high-grade sarcoma with a poorer prognosis.
食管巨大纤维血管性息肉是1957年描述的一种罕见的良性典型病变。该病变在宏观和微观方面都易于识别。然而,最近的研究对食管巨大纤维血管性息肉的存在提出了质疑。MDM2基因扩增的发现提示了高分化脂肪肉瘤的诊断。我们在此描述一名67岁男性的食管息肉病例。最初诊断为食管巨大纤维血管性息肉。其次,免疫组织化学和荧光原位杂交技术显示MDM2基因扩增,病变重新分类为高分化脂肪肉瘤。寻找未分化成分对于不忽视去分化脂肪肉瘤至关重要,去分化脂肪肉瘤是一种预后较差的高级别肉瘤。