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Related Experiment Video

Updated: Sep 12, 2025

Robotics in Surgery: A Modular Robotic Platform Driven Gastric Wedge Resection
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Robotic Oesophageal Spindle Cell Lipoma Excision.

Rajesh Shinde1, Monika Pohekar1, Dns Saikumar1

  • 1Department of Surgical Oncology, Apollo Hospitals, Navi Mumbai, India

Multimedia Manual of Cardiothoracic Surgery : MMCTS
|August 6, 2025
PubMed
Summary

This case report details a rare spindle cell lipoma (SCL) of the esophagus, a benign tumor. Complete surgical excision is the recommended treatment for this esophageal lipoma.

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Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Oncology

Background:

  • Esophageal lipomas are rare benign tumors, comprising less than 1% of all gastrointestinal lipomas.
  • Spindle cell lipoma (SCL) is an exceptionally rare variant of esophageal lipoma.
  • Accurate diagnosis is crucial to differentiate from malignant esophageal neoplasms.

Purpose of the Study:

  • To report a rare case of spindle cell lipoma (SCL) of the esophagus.
  • To highlight the diagnostic challenges and management of this rare esophageal tumor.
  • To emphasize the importance of histopathological and immunohistochemical analysis.

Main Methods:

  • A case study of a 52-year-old female patient presenting with dysphagia.
  • Diagnostic procedures included esophago-gastroscopy and computerized tomography (CT) scan of the chest.
Keywords:
EsophagusRobotic resectionRobotics

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  • Surgical intervention involved robotic trans-thoracic excision.
  • Histopathological and immunohistochemical examinations were performed.

    • Main Results:

    • A large submucosal mass was identified in the esophagus.
    • Initial biopsy suggested squamous hyperplasia; final histopathology confirmed SCL.
    • Immunohistochemistry showed CD 34 positivity and negative results for desmin and MDM2.
    • The patient underwent successful complete excision of the esophageal lesion.

    Conclusions:

    • Spindle cell lipoma (SCL) of the esophagus is a rare entity requiring precise diagnosis.
    • Complete surgical excision is the standard treatment for esophageal SCL.
    • Differentiating SCL from malignant esophageal tumors is critical for appropriate patient management.