Cases reported "Lipoma"

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11/25. Noninfiltrating angiolipoma of the mediastinum.

    A case of mediastinal angiolipoma in a 63-year-old man is described. A computed tomographic scan of the thorax demonstrated a large encapsulated mass with fatty and soft-tissue components near the esophagus. This appearance was considered suggestive of a liposarcoma. However, at surgery a benign noninfiltrating angiolipoma was found and removed. To the authors' knowledge, angiolipomas have not previously been reported to occur within the mediastinum.
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ranking = 1
keywords = esophagus
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12/25. liposarcoma arising in a giant lipomatous polyp of the esophagus.

    A case of liposarcoma in a giant pedunculated lipoma of the esophagus in a 49-year-old Korean woman who presented intermittent swallowing difficulty for 3 years is reported. endoscopy and esophagography revealed that a giant smooth longitudinal tumor mass almost entirely occupied the esophageal lumen. A total esohagectomy was done. The tumor was 20 cm in length and 7 cm in average diameter with an obvious stalk measuring 3 cm in length and 1 cm in diameter. Microscopic examination disclosed a lipoma with focal ulceration and liposarcomatous change infiltrating into interstitial fibrous tissue at its distal end.
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ranking = 5
keywords = esophagus
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13/25. Benign pedunculated tumor of the esophagus.

    Benign pedunculated tumors of the esophagus are rare, even large tumors often remain asymptomatic. Recent experiences with two patients are described, who only complained of recurrent appearance of the tumor in their mouth. In barium studies the esophageal dilatation can incorrectly suggest achalasia or cardiospasm, whereas the tumor itself is overlooked. Even at endoscopy the tumor can be missed, as it is covered with normal epithelium. histology of a biopsy often shows no abnormalities. Once the diagnosis is made, resection is strictly indicated, especially to prevent acute laryngeal obstruction. In one patient surgical removal was performed via cervical esophagotomy, in the second by endoscopy.
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ranking = 5
keywords = esophagus
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14/25. Giant fibroadipose polyp of the esophagus.

    A patient with giant fibroadipose polyp of the esophagus is reported. A new observation, a corrugated appearance localized to the segment of the esophagus containing the intraluminal tumor, is discussed. In addition, the computed tomography appearance of the tumor is presented.
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ranking = 6
keywords = esophagus
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15/25. Multiple hamartoma syndrome (Cowden's disease).

    The four male patients with multiple hamartoma syndrome (Cowden's disease) in this report, have most of the previously reported findings associated with this syndrome and several important unreported findings that include multiple cutaneous trichilemmomas, cafe-au-lait spots, cutaneous squamous cell carcinoma, pathologic fracture, craniomegaly, probable malignant lung tumor, retinal glioma, drusens of the optic disk and retina, pseudotumor cerebri, mediastinal mass, and multiple small papillomatous lesions of the esophagus, stomach, and duodenum.
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ranking = 1
keywords = esophagus
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16/25. Giant fibrovascular polyp of the esophagus.

    An adult patient with a giant fibrovascular esophageal polyp, measuring 17 cm in length, is described in this report. The patient presented with dysphagia and intermittent partial regurgitation of a fleshy mass in the mouth, only after the polyp had attained giant proportions. The polyp appeared as a large polypoid filling defect on a barium swallow and the findings were confirmed at endoscopy. The stalk was attached just below the cricopharyngeus muscle, and the club-shaped polyp extended almost up to the gastroesophageal junction. Because of the vascularity of this large structure and the proximity of respiratory passages to the site of attachment of the stalk, surgical resection of the polyp was undertaken.
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ranking = 4
keywords = esophagus
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17/25. Lipoma of the esophagus.

    Lipomas of the esophagus are relatively rare, but are of clinical interest since they may produce significant clinical symptoms that must be differentiated from malignant conditions. A case of esophageal lipoma is reported. The pliable, pedunculated esophageal tumor, which changes shape radiologically and has minimal clinical symptomatology, are the hallmarks for a correct diagnosis.
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ranking = 5
keywords = esophagus
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18/25. Lipoma of the esophagus.

    A case report is presented of a 64-year-old female with a very large pedunculated lipoma in the esophagus. These lipomas are relatively uncommon and in spite of their large size may cause very few symptoms. Often they are first recognized after regurgitation of the tumor mass in the mouth which may, in some cases, lead to asphyxia and death. Because of the danger of asphyxia, therapy by excision of the tumor soon after diagnosis appears to be essential. A classification of benign esophageal tumors is given and the role of radiology in diagnosis described.
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ranking = 5
keywords = esophagus
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19/25. Giant intraluminal polyps of the esophagus.

    Giant intraluminal polyps of the esophagus are relatively rare. Their diagnosis often presents a confusing picture; radiographic studies are frequently misinterpreted as achalasia, and the endoscopic picture is often difficult to interpret. This report describes the case histories of three patients with giant intraluminal polyps of the esophagus. Each presents slightly different clinical features. The signs and symptoms are discussed in terms of the pathophysiology. Common pitfalls in diagnosis are reviewed. Suggestions to enable more accurate identification of these lesions are given. Finally, a systemic approach to treatment is outlined which offers the patient symptomatic relief while minimizing surgical complications and morbidity.
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ranking = 6
keywords = esophagus
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20/25. Esophageal squamous cell carcinoma occurring in the surface epithelium over a benign tumor.

    The coexistence of a benign tumor and carcinoma in the same esophagus is uncommon, while the occurrence of carcinoma in the surface epithelium over a benign tumor is considered to be extremely rare. Among 587 patients with surgically resected esophageal cancer, the cases with carcinoma located over a benign tumor of the esophagus were histopathologically investigated and the carcinogenesis of such cases was discussed. Only three cases were found to have esophageal squamous cell carcinoma located over benign tumors (two were leiomyomas and one was a lipoma). All three benign tumors protruded to the esophageal surface, and the carcinoma was located just over such tumors without coexisting epithelial dysplasia. Moreover, the epithelium, except for portions around these tumors, was intact in all three cases. From these findings it was suggested that chronic stimulation of the epithelium covering the benign tumors might have induced the carcinoma.
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ranking = 2
keywords = esophagus
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