More than just a tickle in the throat, a giant oesophageal lipoma

A 55-year-old male, with no significant past medical history, presented with progressive dysphagia, dysphonia, and 9-kg-weight loss. His physical examination was unremarkable. He underwent Endoscopy and Endoscopic Ultrasound (EUS), both identifying a submucosal lesion extending 15 to 31 cm from the incisors and was covered with normal overlying mucosa (Fig. 1). The EUS report described the lesion as hyperechoic with well-defined borders, favouring a lipoma of the oesophagus. Although, both endoscopies identified the proximal origin of the lesion, the exact size of the base could not be determined.