%0 Case Reports
%T Effective Endoscopic Submucosal Dissection of a Huge Esophageal Liposarcoma: A Case Report.
%A Lee MJ
%A Lee MW
%A Joo DC
%A Hong SM
%A Baek DH
%A Lee BE
%A Kim GH
%A Song GA
%J Korean J Gastroenterol
%V 83
%N 6
%D 2024 Jun 25
%M 38918037
暂无%R 10.4166/kjg.2024.047
%X 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.