
Liposarcoma is one of the most common sarcomas in adults, but very rarely presents as a primary in the upper gastrointestinal system. Herein, we present a 71-year-old male patient who underwent wedge excision biopsy twice and then fine needle aspiration and total gastrectomy for a recurrent gastroeosophageal junction mass. In microscopic sections, both well-differentiated and dedifferentiated components were seen. Tumor cells were positive for MDM2, CDK4 and negative for CD117, DOG1, CD34, SMA, Desmin, S-100, HMB45, SOX10, AE1/AE3, CAM5.2, CK18. Fluorescence in situ hybridization (FISH) was performed and MDM2 gene (12q15) amplification was detected. According to these findings, a diagnosis of dedifferentiated liposarcoma was supported. We believe this is the first reported case of dedifferentiated liposarcoma of the gastroesophageal junction.
Male, Gastroesophageal junction, AMPLIFICATION, Liposarcoma, DIAGNOSIS, GIANT LIPOSARCOMA, Gastrointestinal neoplasms, Dedifferentiated liposarcoma, MDM2, Stomach Neoplasms, STOMACH, Pathology, ESOPHAGUS, RB1-214, Humans, Esophagogastric Junction, REAL-TIME PCR, SUBTYPE, SARCOMA, Aged
Male, Gastroesophageal junction, AMPLIFICATION, Liposarcoma, DIAGNOSIS, GIANT LIPOSARCOMA, Gastrointestinal neoplasms, Dedifferentiated liposarcoma, MDM2, Stomach Neoplasms, STOMACH, Pathology, ESOPHAGUS, RB1-214, Humans, Esophagogastric Junction, REAL-TIME PCR, SUBTYPE, SARCOMA, Aged
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