Giant Pedunculated Atypical Lipomatous Tumor of Esophagus: A Six-Year Delay Surgical Removal without Adverse Event
Pitichote Hiranyatheb MD*, Chairat Supsamutchai MD*, Nuttapon Arpornsujaritkun MD*, Jakrapan Jirasiritham MD*, Teerawut Rakchob MD*, Namsiri Biadul MD*
Affiliation : * Department of Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Benign esophageal tumors are rare and usually have no symptoms until enlarging. Most common esophageal polyps are fibrovascular polyps that are difficult to differentiate from atypical lipomatous tumor. A locally aggressive mesenchymal tumor was reported as a large intraluminal polyp because of similar presentation until the pathological examination was done. Usual recommendation is to remove the tumor as soon as possible due to the risk of sudden death. We report on a case where a six-year delay to remove an atypical lipomatous tumor presented with a very large esophageal polyp. Although a lot of cases use endoscopy for resection, longitudinal esophagotomy is a simple and safe procedure for removal of polyps in difficult situations.
Keywords : Benign esophageal tumor, Atypical lipomatous tumor of esophagus, Giant pedunculated polyp
