THORACOSCOPIC ENUCLEATION OF A SUBMUCOSAL ESOPHAGEAL LIPOMA

  • Maria Sousa Interna de Formação Específica de Cirurgia Geral do Hospital de Braga. Department of General Surgery General, Braga Hospital http://orcid.org/0000-0003-4515-3759
  • Humberto Cristino Assistente graduado. Departamento de Cirurgia Hepato-bilio-pancreatica do Hospital de São João, Porto, Portugal MD. Graduated Assistent. Department of Hepato-Biliary-Pancreatic Surgery, São João Medical Center, Porto, Portugal http://orcid.org/0000-0003-0842-3756
  • Mário Reis Assistente graduado. Departamento de Cirurgia de Cabeça e Pescoço do Hospital de Braga, Braga, Portugal MD. Graduated Assistent. Department of Head and Neck, Braga Hospital http://orcid.org/0000-0002-8035-6423
  • Pedro Leão Cirurgia geral Grupo Trofa Saúde; Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga, Portugal; ICVS/3B’s – PT Government Associate Laboratory, Braga/Guimarães, Portugal http://orcid.org/0000-0003-3620-7030

Abstract

Aims: case-report of a toracoscopic enucleation of esophageal lipoma. Lipomas of the gastrointestinal tract are rare, and those of the esophagus are extremely rare. Surgical enucleation is indicated in case of symptoms or an unclear diagnosis. Toracoscopic enucleation has been developed as a preferred approach for most lesions in recent years.


Methods: clinical data collected from computerized records of the patient process and records, video and photography from surgery. Literature review about this subject, using Pubmed search platform.


Results: The patient is a 68 years old man, diabetic and hypertensive, presented with dysphagia associated with extrinsic compression impactation. Upper gastrointestinal endoscopy revealed a submucosal space-occupying mass, with normal mucosa, at 22cm from upper dental arch. CT revealed an uppermedium 42x9x16 esophageal lipoma, with mass effect and luminal narrowing. In April 2016, the patient was submitted to a toracoscopic enucleation of the esophageal lipoma. The tumor location was identified, and the overlying muscle layer of the esophagus was incised to expose the tumor, which was completely enucleated. The surgery and post-operative period was uneventful. Histology confirmed the diagnosis of lipoma, comprising a collection of mature adipose tissue. The patient is currently asymptomatic.


Conclusions: benign tumors of the esophagus are very rare. The treatment of suspected esophageal lipoma depends on tumor size and origin. Toracoscopic enucleation of esophageal lipomas is a safe, minimally invasive, and effective treatment. Although lipomas are rare in the esophagus, early diagnosis and resection should be recommended for all symptomatic cases.


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Published
2020-07-02
How to Cite
SOUSA, Maria et al. THORACOSCOPIC ENUCLEATION OF A SUBMUCOSAL ESOPHAGEAL LIPOMA. Revista Portuguesa de Cirurgia, [S.l.], n. 47, p. 75-76, july 2020. ISSN 2183-1165. Available at: <https://revista.spcir.com/index.php/spcir/article/view/811>. Date accessed: 01 mar. 2024. doi: https://doi.org/10.34635/rpc.811.