Abstract
A 52-year-old man visited a nearby hospital because of upper abdominal pain, and was pointed out having a submucosal tumor of the esophagus. The patient was referred to the hospital. A barium meal and endoscopic study revealed a sessile tumor with a longer diameter of 4cm in the lower thoracic esophagus. Computed tomography showed a low density mass like adipose tissue in the esophagus. Through a right thoracotomy, the tumor was enucleated without leaving any impairment to the esophageal mucosa by applying longitudinal excision. The tumor was 3.2×1.7×1.5cm in size, and was soft and yellowish like adipose tissue. The pathological diagnosis was benign lipoma. Esophageal lipoma is extremely rare. We have found only 21 reported cases in the Japanese literature. This paper presents a rare case of esophageal lipoma which was enucleated through thoracotomy, together with a review of the literature.
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