PMID- 37670330 OWN - NLM STAT- MEDLINE DCOM- 20230907 LR - 20231118 IS - 1746-1596 (Electronic) IS - 1746-1596 (Linking) VI - 18 IP - 1 DP - 2023 Sep 5 TI - Giant liposarcoma of esophagus: a rare case report. PG - 100 LID - 10.1186/s13000-023-01387-9 [doi] LID - 100 AB - BACKGROUND: Liposarcoma is a malignant mesenchymal tumor that most commonly involves the retroperitoneum and lower extremities. However, liposarcoma of esophagus has been rarely reported in the literature. CASE PRESENTATION: We report a case of a 46-year-old man with complaint of intermittent dysphagia for 6 years, accompanied with paroxysmal vomiting of pedicled tumor to the mouth. Imaging studies showed a huge mixed density lesion in the middle esophageal lumen. Surgical resection of the tumor was performed through an external cervical approach. Microscopically, the tumor was composed of mature adipocytes in normal adipose tissue prominently intersected by sparsely cellular fibrous septa containing atypical, enlarged spindle cells with hyperchromatic nuclei. Immunohistochemically, the tumor cells were positive for Vimentin, S-100, CD34 and MDM2. Besides, fluorescence in situ hybridization (FISH) analysis indicated the presence of amplification involving MDM2 gene. The patient was diagnosed as having esophageal well-differentiated liposarcoma and recovered well after the operation. CONCLUSIONS: Esophageal liposarcoma is an extremely rare tumor. Due to the nonspecific clinical manifestation and lack of experience, it is challenging to make a clear diagnosis before operation. Definite diagnosis of esophageal liposarcoma depends on histopathology, immunohistochemistry and molecular analysis. CI - (c) 2023. BioMed Central Ltd., part of Springer Nature. FAU - Li, Qingjiao AU - Li Q AD - Department of Pathology, Furong District, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Hunan Province, 61 Jiefang West Road, Changsha City, 410000, China. 1439060978@qq.com. FAU - Chen, Si AU - Chen S AD - Department of Pathology, Furong District, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Hunan Province, 61 Jiefang West Road, Changsha City, 410000, China. cherry3370@hunnu.edu.cn. FAU - Li, Yanchun AU - Li Y AD - Department of Pathology, Furong District, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Hunan Province, 61 Jiefang West Road, Changsha City, 410000, China. FAU - Chen, Zhihong AU - Chen Z AD - Department of Pathology, Furong District, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Hunan Province, 61 Jiefang West Road, Changsha City, 410000, China. FAU - Liu, Yu AU - Liu Y AD - Department of Pathology, Furong District, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Hunan Province, 61 Jiefang West Road, Changsha City, 410000, China. FAU - Guo, Wei AU - Guo W AD - Department of Pathology, Furong District, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Hunan Province, 61 Jiefang West Road, Changsha City, 410000, China. LA - eng PT - Case Reports PT - Journal Article DEP - 20230905 PL - England TA - Diagn Pathol JT - Diagnostic pathology JID - 101251558 SB - IM MH - Humans MH - Male MH - In Situ Hybridization, Fluorescence MH - *Liposarcoma MH - *Esophageal Neoplasms MH - *Sarcoma PMC - PMC10478250 OTO - NOTNLM OT - Case report OT - Esophageal liposarcoma OT - Esophagus OT - Liposarcoma COIS- The authors declare no competing interests. EDAT- 2023/09/06 00:41 MHDA- 2023/09/07 06:42 PMCR- 2023/09/05 CRDT- 2023/09/05 23:45 PHST- 2022/11/04 00:00 [received] PHST- 2023/08/26 00:00 [accepted] PHST- 2023/09/07 06:42 [medline] PHST- 2023/09/06 00:41 [pubmed] PHST- 2023/09/05 23:45 [entrez] PHST- 2023/09/05 00:00 [pmc-release] AID - 10.1186/s13000-023-01387-9 [pii] AID - 1387 [pii] AID - 10.1186/s13000-023-01387-9 [doi] PST - epublish SO - Diagn Pathol. 2023 Sep 5;18(1):100. doi: 10.1186/s13000-023-01387-9.