2020 Volume 29 Issue 3 Pages 327-331
We report the case of a well-differentiated liposarcoma of the pharynx. The patient was a 62-year-old man who presented with dysphagia. The tumor was totally resected and histological examination of the operative specimen confirmed lipoma. Seven years after the first surgery, the tumor recurred and we performed tumor resection with lateral pharyngotomy. The histological diagnosis was lipoma. Ten years after the first surgery, the tumor recurred again and we performed lateral pharyngotomy. The histological examination did not prove malignancy, but the clinical history was compatible with well-differentiated liposarcoma. Eighteen years after the first surgery, the tumor recurred and we performed total pharyngolaryngectomy and reconstruction of the cervical esophagus with a jejunal free flap. Well-differentiated liposarcoma was diagnosed from histological findings of the operative specimen. The surgical margin of the caudal side was positive. Two years after the last surgery, he remains under observation without recurrence.
