Effective Endoscopic Submucosal Dissection of a Huge Esophageal Liposarcoma: A Case Report
- Author:
Myeong Jin LEE
1
;
Moon Won LEE
;
Dong Chan JOO
;
Seung Min HONG
;
Dong Hoon BAEK
;
Bong Eun LEE
;
Gwang Ha KIM
;
Geun Am SONG
Author Information
- Publication Type:CASE REPORT
- From:The Korean Journal of Gastroenterology 2024;83(6):243-246
- CountryRepublic of Korea
- Language:EN
- 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.
