Parikh Malav P, Chandran Aswathi, Satiya Jinendra, Raja Siva, Sanaka Madhusudhan R
Gastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, USA.
Gastroenterology, Hepatology and Nutrition, University of Texas Health Science Center at Houston, Houston, USA.
Cureus. 2019 Apr 16;11(4):e4480. doi: 10.7759/cureus.4480.
Soft tissue sarcomas represent an extremely rare cause of esophageal masses, and undifferentiated sarcomas are rarer. The proportion of dedifferentiated liposarcomas (DDL) is even lower. The case of a 58-year-old male who complained of dysphagia and was found to have an 18-centimeter long esophageal mass/polyp on esophagogastroduodenoscopy is presented. The lesion was resected endoscopically and a diagnosis of DDL was confirmed by fluorescence in situ hybridization. Due to its rarity, the treatment experience with esophageal DDLs is limited. However, based on our experience, endoscopic resection of the lesion can be considered as the treatment of choice when feasible. We performed a review of the literature to identify and analyze similar reported cases.
软组织肉瘤是食管肿物极为罕见的病因,未分化肉瘤则更为罕见。去分化脂肪肉瘤(DDL)的比例甚至更低。本文报告了一例58岁男性患者,该患者主诉吞咽困难,在食管胃十二指肠镜检查中发现一个长18厘米的食管肿物/息肉。通过内镜切除该病变,并经荧光原位杂交确诊为DDL。由于其罕见性,食管DDL的治疗经验有限。然而,根据我们的经验,在可行的情况下,可考虑将内镜切除病变作为首选治疗方法。我们对文献进行了综述,以识别和分析类似的报道病例。