[Giant esophageal lipoma]

Area of Science:

• Gastroenterology
• Surgical Oncology
• Pathology

Background:

• Esophageal lipomas are infrequent benign neoplasms originating from adipose tissue within the esophageal wall.
• Dysphagia is the primary clinical manifestation, often resulting from esophageal obstruction caused by the tumor's mass effect.

Observation:

• A rare case of a giant, pedunculated esophageal lipoma presented with significant dysphagia.
• The tumor's size and pedunculated nature were key distinguishing features.

Findings:

• Diagnostic modalities including endoscopy, contrast-enhanced radiology, computed tomography, and echoendoscopy confirmed the diagnosis.
• Histopathological examination post-surgery confirmed the benign lipomatous nature of the tumor.

Implications:

• Surgical resection remains the definitive management for symptomatic giant esophageal lipomas.
• Early and accurate diagnosis through advanced imaging is crucial for effective treatment planning and patient outcomes.