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Surg Today. 2007;37(2):173-5. Epub 2007 Jan 25.

Cervical approach for resection of a pedunculated giant atypical lipomatous tumor of the esophagus.

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  • 1Department of Surgery, Akita University School of Medicine, 1-1-1 Hondo, Akita, 010-8543, Japan.


We describe how we removed a giant pedunculated atypical lipomatous tumor, arising in the cervical to upper thoracic esophagus and occupying a region extending from the cervical to the middle thoracic esophagus, through a cervical esophagotomy without thoracotomy or laparotomy. We suggest that if the base of the tumor is located in the cervical portion of the esophagus, and if the tumor is not aggressive, the cervical approach is best, irrespective of the size of the tumor.

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