Summary

A 39-year-old Japanese man has been complaining of chest pain for 3 months and a CT revealed a huge tumour in the posterior mediastinum and retroperitoneum. The mediastinal tumour was continuous with the retroperitoneal one through the oesophageal hiatus and the lower oesophagus was completely surrounded by the tumour. MRI suggested lipogenic tumour. Resection of the tumour with oesophagectomy was performed through bilateral thoracotomy and laparotomy. Pathological examination revealed well-differentiated liposarcoma which was completely resected. The patient has been alive without recurrence for 14 months after surgery.