Li Rui, Lin Chen, Huang Yuxun, Cao Liang, Hu Rui, Liu Feng, Shrestha Manishkumar, Chen Zixian, Guo Shunlin
The First Clinical Medical College, Lanzhou University, Lanzhou, Gansu Province, China.
Department of Radiology, The First Hospital of Lanzhou University, Lanzhou, Gansu Province, China.
J Int Med Res. 2021 Sep;49(9):3000605211041269. doi: 10.1177/03000605211041269.
Oesophageal liposarcomas are particularly rare, accounting for 1.2-1.5% of all gastrointestinal liposarcomas. Surgical resection is the usual treatment. Endoscopic resection is minimally invasive but still controversial. This current case report describes a rare case of a large oesophageal liposarcoma in a 52-year-old male that presented with 10-year history of dysphagia for dry and solid food that was exacerbated by a recent common cold. Thoracoscopic and laparoscopic oesophagectomy was performed. He did not have any dysphagia or dyspnoea 1 week postoperatively. The excised specimen consisted of a polypoid mass measuring 21.0 cm × 5.1 cm. Histological examination confirmed that it was an oesophageal liposarcoma. At 1-year postoperatively, there was no sign of recurrence. Thoracoscopy and laparoscopy can be used to treat large oesophageal masses. Long-term follow-up is required as oesophageal liposarcomas tend to recur.
食管脂肪肉瘤极为罕见，占所有胃肠道脂肪肉瘤的1.2 - 1.5%。手术切除是常用的治疗方法。内镜切除具有微创性，但仍存在争议。本病例报告描述了一例罕见的52岁男性巨大食管脂肪肉瘤病例，该患者有10年吞咽干食和固体食物困难的病史，近期因普通感冒而加重。实施了胸腔镜和腹腔镜联合食管切除术。术后1周他没有任何吞咽困难或呼吸困难的症状。切除的标本为一个息肉样肿物，大小为21.0 cm×5.1 cm。组织学检查证实为食管脂肪肉瘤。术后一年没有复发迹象。胸腔镜和腹腔镜可用于治疗巨大食管肿物。由于食管脂肪肉瘤容易复发，需要进行长期随访。
