Updates in Surgery

, Volume 63, Issue 2, pp 125–127 | Cite as

Giant esophageal lipoma

  • Antonello Cuttitta
  • Vito Annese
  • Antonio Tancredi
  • Celeste Clemente
  • Roberto Scaramuzzi
Case Report
  • 67 Downloads

Abstract

A case of a giant esophageal pedunculated lipoma diagnosed in a 67-year-old male patient with recent onset of dysphagia is reported. Following the initial endoscopic and radiologic evaluation, the diagnosis was suspected by endo-ultrasonography and confirmed by histopathology. The treatment consisted of an esophagotomy with submucosal resection, through a left sided cervical incision. The review of the literature confirmed the rarity of this neoplasm, and the difficulty of a correct preoperative diagnosis, since a possible progression to squamous carcinoma has been demonstrated.

Keywords

Lipoma Submucosal tumors Benign esophageal tumors 

References

  1. 1.
    von Raden BHA, Stein HJ, Feussner H, Siewert JR (2004) Enucleation of submucosal tumor of the esophagus. Miniinvasive versus open approach. Surg Endosc 18:924–930CrossRefGoogle Scholar
  2. 2.
    Akiyama S, Kataoka M, Horisawa M et al (1990) Lipoma of the esophagus: report of a case, review of the literature. Jpn J Surg 20(4):458–462PubMedCrossRefGoogle Scholar
  3. 3.
    Sossai P, De Bernardin M, Bissoli E, Barbazza R (1996) Lipomas of the esophagus: a new case. Digestion 57(3):210–212PubMedCrossRefGoogle Scholar
  4. 4.
    Migliore M, Jeyasingham K (1998) Peduncolated intraluminal oesophageal fibrolipoma. J Cardiovasc Surg 39(4):519–521Google Scholar
  5. 5.
    Wang CY, Hsu HS, Wu YC, Huang MH, Hsu WH (2005) Intramural lipoma of the esophagus. J Clin Med Assoc 68(5):240–243CrossRefGoogle Scholar
  6. 6.
    Kuwano H, Sedanaga N, Watanabe M, Yasuda M, Nozoe T, Sugimachi K (1995) Esophageal squamous cell carcinoma occurring in the surface epithelium over a benign tumor. J Surg Oncol 59(4):268–272PubMedCrossRefGoogle Scholar
  7. 7.
    Razzak R, Bedard EL, Hunt I, Satkunam N (2009) Spindle cell lipoma of the esophagus. Eur J Cardiothorac Surg 35(3):542–543PubMedCrossRefGoogle Scholar
  8. 8.
    Samad L, Ali M, Ramzi H, Akbani Y (1999) Respiratory distress in a child caused by lipoma of the esophagus. J Pediatr Surg 34(10):1537–1538PubMedCrossRefGoogle Scholar
  9. 9.
    Pérez B, Campos ME, Rivero J, López-Aguado D (1999) Giant esophageal fibrolipoma. Otolaryngol Head Neck Surg 120(3):445–446PubMedCrossRefGoogle Scholar
  10. 10.
    Ertem M, Baca B, Dogusoy G, Erguney S, Yavuz N (2004) Thoracoscopic enucleation of a giant submucosal tumor of the esophagus. Surg Laparosc Endosc Percutan Tech 14(2):87–90PubMedCrossRefGoogle Scholar
  11. 11.
    Weigel TL, Schwartz DC, Gould JC, Pfau PR (2005) Transgastric laparoscopic resection of a giant esophageal lipoma. Surg Laparosc Endosc Percutan Tech 15(3):160–162PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  • Antonello Cuttitta
    • 1
  • Vito Annese
    • 2
  • Antonio Tancredi
    • 1
    • 3
  • Celeste Clemente
    • 4
  • Roberto Scaramuzzi
    • 1
    • 5
  1. 1.Unit of General Surgery 2nd and Thoracic SurgeryIRCCS “Casa Sollievo della Sofferenza” HospitalSan Giovanni RotondoItaly
  2. 2.Unit of Gastroenterology 2ndAzienda Ospedaliero-Universitaria CareggiFirenzeItaly
  3. 3.Department of Internal Medicine and Medical Therapy, PhD School in Internal Medicine and Medical TherapyUniversity of PaviaPaviaItaly
  4. 4.Unit of PathologyIRCCS “Casa Sollievo della Sofferenza” HospitalSan Giovanni RotondoItaly
  5. 5.Graduate School of MedicineCatholic University of the Sacred HeartRomeItaly

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