Article

Intramural Lipoma of the Esophagus

Department of Surgery, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Journal of the Chinese Medical Association (Impact Factor: 0.85). 06/2005; 68(5):240-3. DOI: 10.1016/S1726-4901(09)70216-3
Source: PubMed

ABSTRACT

Lipomas of the gastrointestinal tract are rare, and those of the esophagus are extremely rare. Indeed, fewer than 20 resected cases of esophageal lipoma have been reported in the literature. In the current case, a 71-year-old man presented with a 4-month history of a slight swallowing disturbance in the upper chest. Upper gastrointestinal endoscopy revealed a submucosal space-occupying mass, with normal mucosa, in the upper third of the thoracic esophagus; the mass was yellowish in color, soft in consistency, and about 3.5 x 3.0 cm in diameter. The patient underwent video-assisted thoracoscopic enucleation of the submucosal esophageal tumor, which pathologically, was proved to be a lipoma.

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Available from: Yu-Chung Wu, Apr 05, 2014
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    • "In a review of the literature by Nora in 1964, 2 16 of the 17 esophageal lipomas previously recorded were located intraluminally. Intramural esophageal lipoma was reported only by Kinnear in 1955, 3 and by Tolis and Shields in 1967. 4 Most lipomas are small, do not cause symptoms, and may be found incidentally during imaging studies; however, they must be differentiated from malignancy. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Lipomas of the gastrointestinal tract are rare, and those of the esophagus are extremely rare. Indeed, fewer than 20 resected cases of esophageal lipoma have been reported in the literature. In the current case, a 71-year-old man presented with a 4-month history of a slight swallowing disturbance in the upper chest. Upper gastrointestinal endoscopy revealed a submucosal space-occupying mass, with normal mucosa, in the upper third of the thoracic esophagus; the mass was yellowish in color, soft in consistency, and about 3.5 x 3.0 cm in diameter. The patient underwent video-assisted thoracoscopic enucleation of the submucosal esophageal tumor, which pathologically, was proved to be a lipoma.
    Full-text · Article · Jun 2005 · Journal of the Chinese Medical Association
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    ABSTRACT: A 59-year-old man presented to our hospital with dysphagia. Esophagography and endoscopy demonstrated a large pedunculated tumor. CT scan and MRI showed a large esophageal tumor consisting of fatty tissue. The tumor was diagnosed as lipoma or liposarcoma of the esophagus, and esophagectomy was performed. Histological examination showed fibrolipoma with a vascular component. Lipomas of the esophagus are extremely rare and often become large before causing symptoms. Surgical or endoscopic resection is the preferred treatment. Treatment strategies are dependent on site, size, and characteristics of the peduncle.
    Full-text · Article · Dec 2005 · Esophagus
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    ABSTRACT: We have reported a case of endoscopically treated lipoma of the cervical esophagus. The patient was referred to our hospital with a chief complaint of dysphagia and underwent an esophagectomy through right thoracotomy, followed by esophagogastrostomy for superficial esophageal cancer 31/2 months before. However, this benign lesion was not revealed by preoperative check-up. He again complained of dysphagia after esophagectomy and lipoma of the cervical esophagus was confirmed. Esophageal lipomas are relatively rare in the digestive tract; however, lipoma of the cervical esophagus can cause upper airway obstruction in the case of regurgitation of the tumor. Therefore, this disease must be considered in the examination of the patient with dysphagia.
    No preview · Article · Jan 2002 · Digestive Endoscopy
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