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Case reports

Spindle cell lipoma of the esophagus

^a Division of Thoracic Surgery, Department of Surgery, University of Alberta, Edmonton, Alberta, Canada
^b Department of Pathology, Royal Alexandra Hospital, Edmonton, Alberta, Canada

Received 1 August 2008; received in revised form 31 October 2008; accepted 3 November 2008.

^_* Corresponding author. Address: Royal Alexandra Hospital, 10240 Kingsway Avenue, Edmonton, Alberta, Canada, T5H 3V9. Tel.: +1 780 735 5981; fax: +1 780 735 4245. (Email: Eric.Bedard{at}Capital.Health.ca).

Esophageal lipomas are benign tumors representing less than 0.5% of all gastrointestinal lipomas. They are typically detected incidentally but occasionally present with local symptoms and rarely with life-threatening complications. We describe a case of a 60-year-old man with progressive dysphagia and weight loss, who presented with several episodes of near asphyxiation secondary to regurgitation and aspiration of the pedunculated mass. Preoperative investigations included a barium meal, esophagoscopy and computerized tomography. The pedunculated lipoma was excised via a cervical approach and found, at final pathology, to be a spindle cell lipoma, a rare variant not previously described in relation to the esophagus.

Key Words: Lipoma • Esophagus • Spindle cell lipoma