Effective Endoscopic Submucosal Dissection of a Huge Esophageal Liposarcoma: A Case Report.
Korean J Gastroenterol
; 83(6): 243-246, 2024 Jun 25.
Article
in En
| MEDLINE
| ID: mdl-38918037
ABSTRACT
This case report presents the successful endoscopic submucosal dissection (ESD) of a well-differentiated esophageal liposarcoma in a 51-year-old male with persistent dysphagia. The cause was initially diagnosed as a 10 cm pedunculated lesion extending from the upper esophageal sphincter to the mid-esophagus. An ESD was chosen over traditional surgery because it is less invasive. The procedure involved a precise submucosal injection and excision with special techniques to manage bleeding from a central vessel. Despite the extraction challenges owing to the size of the lesion, it was successfully removed orally. A histopathological examination of the 8.3×4.2×2.3 cm specimen revealed the characteristic features of a well-differentiated liposarcoma, including MDM2 and CDK4 positivity. The follow-up revealed no recurrence, and active surveillance has been performed since. This report highlights the versatility of ESD in treating significant esophageal tumors and provides evidence for its efficacy as a minimally invasive alternative.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Esophageal Neoplasms
/
Endoscopic Mucosal Resection
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Liposarcoma
Limits:
Humans
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Male
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Middle aged
Language:
En
Journal:
Korean J Gastroenterol
Journal subject:
GASTROENTEROLOGIA
Year:
2024
Document type:
Article