Giant retropharyngeal liposarcoma

A 64-year-old man presented at our Otolaryngology (ENT) department with a history of progressive dysphagia spanning a few months, and swallowing cough. Thirteen years earlier, he had undergone surgery for partial removal of a retro-hypopharyngeal liposarcoma with successive selective radiotherapy. Definitive histology reported low-grade liposarcoma. The recurrence of the disease had been documented by magnetic resonance imaging (MR), and the residual mass had been monitored with imaging follow-up over a number of years, although the patient did not exhibit any kind of symptom until a few months ago. Fiberoptic laryngoscopy identified a considerable hypopharyngeal mass.