Surgical resection of a massive primary mediastinal liposarcoma with cervical extension.

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Surgical resection of a massive primary mediastinal liposarcoma with cervical extension.

Ann R Coll Surg Engl. 2018 Feb;100(2):e22-e27

Authors: Weaver HL, Preston SD, Wong HH, Jani P, Coonar AS

Abstract
A 73-year-old man was referred for surgical excision of a massive mediastinal and cervical liposarcoma following neoadjuvant chemotherapy. Surgery was performed via a cervical incision, sternotomy and right posterolateral thoracotomy. The tumour arose from the oesophagus, which underwent extensive dissection and was oversewn with pleura after tumour resection. Histology confirmed a completely excised grade 2 de-differentiated liposarcoma with complete macroscopic excision. The patient made an excellent recovery. Oesophageal liposarcomas are rare and, unlike in this case, often extend intraluminally, necessitating oesophagectomy. To our knowledge, this is the largest such tumour found in the literature.

PMID: 29182001 [PubMed - indexed for MEDLINE]

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