Dysphagia (8 months ago)

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Dysphagia (8 months ago) 50757750 Dysphagia (8 months ago)

Max SUV 6.1

7.5 x 3.5 x 2 cm

Squamous epithelium으로 lining된 polypoid leison Edematous stroma & lymphoid cell aggregation Dilated thin-walled vessel

Hypercellular mass, No hemorrhage or necrosis

Short spindle cell or epithelioid cell  storiform pattern Nucleus : hyperchromatic & pleomorphism

Liposarcoma arise from fibrovascular polyp ◇ Esophageal liposarcoma Introduction - esophageal liposarcoma : extremely rare tumor - males, middle aged individuals : wide range of age distribution d/t slow growth Clinical presentation - preponderance upper esophagus - dysphagia: m/c initial symptom - all patients need long-term follow up ; can recur many decades Radiologic findings - pedunculated, well circumscribed, well differentiated  safely resected locally

Liposarcoma arise from fibrovascular polyp Mimic Giant Fibrovascular polyp ; can arise in GFVP Liposarcoma : local recurrence are common may metastasize  rare but should be considered in large esophageal mass <References> 1. Volkan Beylergil et al. FDG PET/CT findings in a rare case of giant fibrovascular polyp of the esophagus harboring atypical lipomatous tumor/well-differentiated liposarcoma. Clinical Nuclear Medicine 2014;39(3):288-291. 2. Jorge Torres-Mora et al. Dedifferentiated Liposarcoma Arising in an Esophageal Polyp: A Case report. Gastrointestinal Medicine 2012:3 3. A Dowli et al. A Pedunculated Giant Esophageal Liposarcoma: a Case report and literature review. J Gastrointest Surg 2014;18:2208-2213. 4. Lewis RB et al. From the Radiologic Pathology Archives Esophageal Neoplasmas: Radiologic Pathologic Correlation. Radiographics 2013;33:1083-1108.