Mediastinal liposarcoma appearing as a tumor arising in the esophageal wall

  • Yasushi Sakamaki
  • Shinichiro Miyoshi
  • Masato Minami
  • Hisaichi Tanaka
  • Keiji Inada
  • Hikaru Matsuda


We report a case of mediastinal liposarcoma, a relatively uncommon neoplasm, in which the mass also appeared as a tumor arising in the esophageal wall. A 76-year-old man diagnosed with a posterior mediastinal mass had the tumor extirpated in local esophageal myectomy due to its unclear margin on the esophageal wall. The resected specimen was diagnosed as well-differentiated liposarcoma. Preoperative angiography showed the tumor received its blood supply from a branch of the left gastric artery, suggesting it arose in the lower esophageal segment close to the hiatus and extended to the mediastinum. Since this tumor’s growth pattern differed completely from esophageal liposarcoma described in previous case reports, we concluded that it was mediastinal liposarcoma.

Key words

liposarcoma mediastinum esophagus 


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  1. 1.
    Schweitzer DL, Aguam AS. Primary liposarcoma of the mediastinum report of a case and review of the literature. J Thorac Cardiovasc Surg 1977, 74: 83–97.PubMedGoogle Scholar
  2. 2.
    Attal H, Jensen J, Reyes CV. Myxoid liposarcoma of the anterior mediastinum: diagnosis by fine needle biopsy. Acta Cytol 1995; 39: 511–3.PubMedGoogle Scholar
  3. 3.
    Sekine Y, Hamaguchi K, Miyahara Y, Baba M, Yasufuku K, Fujisawa T, et al. Thymus-related liposarcoma: report of a case and review of the literature. Surg Today 1996; 26: 203–7.PubMedCrossRefGoogle Scholar
  4. 4.
    Mansour KA, Fritz RC, Jacobs DM, Vellios F. Pedunculated liposarcoma of the esophagus: a first case report. J Thorac Cardiovasc Surg 1983; 86: 447–50.PubMedGoogle Scholar
  5. 5.
    Cooper GJ, Boucher NR, Smith JHF, Thorpe JAC. Liposarcoma of the esophagus. Ann Thorac Surg 1991; 51: 1012–3.PubMedCrossRefGoogle Scholar
  6. 6.
    Boggi U, Viacava P, Naccarato AG, Giulianotti PC, Candio GD, Battolla L, et al. Giant pedunculated liposarcomas of the esophagus: literature review and case report. Hepato-Gastroenterol 1997; 44: 398–407.Google Scholar
  7. 7.
    Temes R, Quinn P, Davis M, Endara S, Follis F, Pett S, et al. Endoscopic resection of esophageal liposarcoma. J Thorac Cardiovasc Surg 1998; 116: 365–7.PubMedCrossRefGoogle Scholar
  8. 8.
    Shokouh-Amiri MH, Hansen CP, Moesgaard F. Liposarcoma of the stomach. Acta Chir Scand 1986; 152: 389–91.PubMedGoogle Scholar
  9. 9.
    Tanaka M, Hizawa K, Tonai M. Liposarcoma. A clinicopathological study on 136 cases based on the histological subtyping of WHO. Jpn J Cancer Clin 1974; 20: 1036–47.Google Scholar
  10. 10.
    Enzinger FM, Winslow DJ. Liposarcoma: a study of 103 cases. Virchow Arch 1962; 335: 367–88.CrossRefGoogle Scholar

Copyright information

© Japanese Association for Thoracic Surgery 2001

Authors and Affiliations

  • Yasushi Sakamaki
    • 1
  • Shinichiro Miyoshi
    • 2
  • Masato Minami
    • 1
  • Hisaichi Tanaka
    • 3
  • Keiji Inada
    • 4
  • Hikaru Matsuda
    • 1
  1. 1.Division of the General Thoracic Surgery, Department of Surgery, Course of Interventional Medicine (EI)Osaka University Graduate School of MedicineSuita, OsakaJapan
  2. 2.Department of Cardiothoracic SurgeryDokkyo Medical University School of MedicineTochigiJapan
  3. 3.Department of SurgeryNational Kinki-Chuo Hospital for Chest DiseaseSakai, OsakaJapan
  4. 4.Department of SurgeryHigashiosaka City General HospitalHigashiosaka, OsakaJapan

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