Navigating through the intricacies of the human body, we often encounter conditions that blur the lines between benign and malevolent, challenging our understanding and approach to treatment. Among these medical enigmas lies liposarcoma, a formidable adversary known for its malignant origins in fat cells. This tumor is a rare beast, accounting for a modest yet significant portion of all soft tissue sarcomas. Liposarcoma’s stealth, predominantly taking root in the body’s internal recesses such as the thigh or retroperitoneum, rarely reveals its presence through benign precursors like a lipoma. The instances of its occurrence within the gastric realm are notably scarce, with the global medical community having documented only a handful of such cases. The journey from a benign gastric lipoma to a malignant gastric liposarcoma is a path treaded by very few, making each case a significant leap into the unknown. Diagnosing this covert tumor presents a formidable challenge, often requiring the precision of advanced imaging to unmask its true identity and necessitating surgical prowess to confront it head-on.

Marking a significant advancement for surgical practice, Dr. KyeongWoon Choi from Inje University, South Korea has made a notable contribution by successfully treating a rare gastric liposarcoma that emerged from a previously benign lipoma. Documented in the International Journal of Surgery Case Reports, this case showcases the complex nature of gastric tumors and the potential of laparoscopic surgery to provide effective treatment for such rare conditions.

“Gastric liposarcoma is a rare malignant tumor, and our case is the first report of a gastric liposarcoma confirmed by postoperative pathology after being diagnosed as a gastric lipoma preoperatively,” Dr. Choi noted. This case required a sophisticated approach to diagnosis and treatment, culminating in the choice of laparoscopic surgery due to its effectiveness, safety, and minimally invasive nature.

This achievement by Dr. Choi represents a leap forward in the laparoscopic management of gastric tumors, offering an encouraging reference for future treatments of similar rare and malignant conditions. His pioneering approach provides strategic insights for medical professionals dealing with complex gastric cancers, highlighting the critical role of vigilant diagnosis and laparoscopic techniques in managing rare tumors effectively. In summary, Dr. KyeongWoon Choi’s successful laparoscopic treatment of a gastric liposarcoma, emerging from a previously benign lipoma, stands as a pivotal advancement in surgical practice. It underscores the importance of early detection and the evolving capabilities of minimally invasive surgery in improving patient outcomes for rare cancers. This case contributes valuable knowledge to the medical community, signifying the ongoing evolution in the treatment landscape where innovation and precision continue to enhance patient care.


K. Choi, Laparoscopic management of a gastric liposarcoma with malignant transformation from a gastric lipoma: A rare case report, International Journal of Surgery Case Reports 113 (2023) 109039.