Journal of Gastrointestinal & Digestive System
Open Access

Case Report

Long-Term Recurrent Liposarcoma of the Mediastinum with Gastric Metastasis: A Case Report

Yung-Sung Yeh^1,2,3, Yu-Ho Huang⁴, Hui-Chen Lin⁵, Ying-Ling Shih⁶, Chien-Yu Lu^7,8 and Jaw-Yuan Wang^3,9,10,11*

¹Division of Trauma, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, Taiwan

²Department of Emergency Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, Taiwan

³Graduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan

⁴Department of Anatomy, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Taiwan

⁵Department of Pathology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan

⁶Department of Nursing, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan

⁷Department of Internal Medicine, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan

⁸Division of Gastroenterology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan

⁹Division of Gastrointestinal and General Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan

¹⁰Department of Surgery, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan

¹¹Center for Biomarkers and Biotech Drugs, Kaohsiung Medical University, Kaohsiung, Taiwan

Corresponding Author:

Jaw-Yuan Wang
Division of Gastrointestinal and General Surgery
Department of Surgery
Kaohsiung Medical University Hospital
Kaohsiung Medical University
No. 100 Tzyou 1st Road
San-Ming District, Kaohsiung 807, Taiwan
Tel: +886-7-3122805
Fax: +886-7-3114679
E-mail: cy614112@ms14.hinet.net

Received Date: September 24, 2015 Accepted Date: October 12, 2015 Published Date: October 18, 2015

Citation: Yeh YS, Huang YH, Lin HC, Shih YL, Lu CY, et al. (2015) Long-Term Recurrent Liposarcoma of the Mediastinum with Gastric Metastasis: A Case Report. J Gastrointest Dig Syst S13:005. doi:10.4172/2161-069X.1000S13-005

Copyright: © 2015 Yeh YS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Liposarcoma is a soft tissue sarcoma typically seen in adults, and it usually arises in the limbs or retroperitoneum but rarely has a visceral location. We report here a rare case of long-term recurrent liposarcoma of the anterior mediastinum with gastric metastasis. A 55-year-old male was admitted to hospital with initial presentations of epigastralgia, anorexia, body weight loss and black stool recently. Nine years before this episode, he had received wide excision of a well-differentiated liposarcoma in the anterior mediastinum. After admission, esophagogastroduodenoscopy revealed a submucosal mass with mucosal erosion involving the great curvature of the stomach. A partial gastrectomy was performed and histopathological examination confirmed that the gastric submucosal lesion was a metastasis of the liposarcoma from mediastinum. The patient was finally diagnosed with recurrent mediastinal liposarcoma with gastric metastasis. A review of the medical literature in English till now shows that this is the first reported case of recurrent mediastinal liposarcoma with gastric metastasis.

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