Giant bilateral posterior mediastinal liposarcoma excision

  • Pramod Reddy KandakureEmail author
  • Shailaja Kambhampati
  • Yoganand Katta
  • Amar Timanwar
  • Vijay Kumar Lakka
Case Report


A 50-year-old female, presented with severe dyspnoea and dysphagia only to solids. Chest-computed tomography (CT) scan revealed a giant bilateral intrathoracic mass in posterior mediastinum causing marked shift in the midline structures, squeezing the heart to sternum. CT-guided biopsy showed lipoma. The patient underwent left posterolateral thoracotomy for surgical removal of entire mass weighing 6 kg and measured 42 × 25 × 10 cm, with histologic examination reported as liposarcoma grade 1. It is the largest surgically treated intrathoracic liposarcoma documented in the modern literature.


Mediastinal tumours Liposarcoma Posterolateral thoracotomy 


Compliance with ethical standards

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee.


Informed consent was obtained from the patient for publication of this case report and accompanying images.

Conflict of interest

The authors declare that they have no competing interests.


  1. 1.
    Gaerte SC, Meyer CA, Winer-Muram HT, Tarver RD, Conces DJ. Fat-containing lesions of the chest. Radiographics. 2002;22:S61–78.CrossRefGoogle Scholar
  2. 2.
    Schweitzer DL, Aguam AS. Primary liposarcoma of the mediastinum. Thorac Cardiovasc Surg. 1977;74:83–97.Google Scholar
  3. 3.
    Jack AI, Blohm ME, Lye M. An intrathoracic lipoma impairing left ventricular function. Br Heart J. 1995;74:95.CrossRefGoogle Scholar
  4. 4.
    Minematsu N, Minato N, Kamohara K, Hakuba T. Complete removal of heart-compressing large mediastinal lipoma: a case report. J Cardiothorac Surg. 2010;5:48.CrossRefGoogle Scholar
  5. 5.
    Enzinger FM, Winslow DJ. Liposarcoma: a study of 103 cases. Virchows Arch Patho1 Anat Physiol Klin Med. 1962;335:367–88. Scholar

Copyright information

© Indian Association of Cardiovascular-Thoracic Surgeons 2018

Authors and Affiliations

  • Pramod Reddy Kandakure
    • 1
    • 2
  • Shailaja Kambhampati
    • 1
  • Yoganand Katta
    • 1
  • Amar Timanwar
    • 1
  • Vijay Kumar Lakka
    • 1
  1. 1.MaxCure HospitalMadhapurIndia
  2. 2.Department of Cardiothoracic SurgeryMaxCure HospitalMadhapurIndia

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