Giant fibrovascular polyp of the esophagus—imaging techniques for proper treatment planning: report of two cases

Vagli, Paola; Solito, Biagio; Neri, Emanuele; Faggioni, Lorenzo; Scandiffio, Rossella; Mantarro, Annalisa; Santi, Stefano; Boraschi, Piero; Bartolozzi, Carlo

doi:10.1007/s00261-011-9787-9

Cited by 11 publications

(6 citation statements)

References 12 publications

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“…Sixty‐five case reports, [1, 2, 5, 6, 8, 10, 12, 13, 17–73] and two reviews [11, 74], published between 1955 and May 2020, were included in the systematic review. The total number of patients was 239, including 176 with lipoma and 63 with liposarcoma.…”

Section: Resultsmentioning

confidence: 99%

“…Magnetic resonance was performed in 11 patients and showed a mass with hyperintense signal on T1 and T2‐weighted images. Endoscopic ultrasound, performed in 13 patients, was considered especially useful to assess the presence of feeding vessels in the stalk of a fibrovascular polyp [36]. Positron emission tomography was performed in 2 patients to exclude malignancy [57, 66].…”

Section: Resultsmentioning

confidence: 99%

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Esophageal Lipoma and Liposarcoma: A Systematic Review

et al. 2020

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Background Esophageal lipomatous tumors, also reported as fibrovascular polyp, fibrolipoma, angiolipoma, and liposarcoma, account for less than 1% of all benign mesenchymal submucosal tumors of the esophagus. Clinical presentation and therapy may differ based on location, size, and morphology. A comprehensive and updated systematic review of the literature is lacking. Methods A systematic review of the literature was performed according to PRISMA guidelines. Pubmed, Embase, Cochrane, and Medline databases were consulted using MESH keywords. Non-English written articles and abstracts were excluded. Sex, age, symptoms at presentation, diagnosis, tumor location and size, surgical approach and technique of excision, pathology, and morphology were extracted and recorded in an electronic database. Results Sixty-seven studies for a total of 239 patients with esophageal lipoma or liposarcoma were included in the qualitative analysis. Among 176 patients with benign lipoma, the median age was 55. The main symptoms were dysphagia (64.2%), transoral polyp regurgitation (32.4%), and globus sensation (22.7%). The majority of lipomas (85.7%) were intraluminal polyps, with a stalk originating from the upper esophagus. Overall, 165 patients underwent excision of the mass through open surgery (65.5%), endoscopy (27.9%), or laparoscopy/thoracoscopy (3.6%). Only 5 (3%) of patients required esophagectomy. Of the 11 untreated patients with an intraluminal polyp, 7 died from asphyxia. Overall, liposarcoma was diagnosed in 63 patients, and 12 (19%) underwent esophagectomy. Conclusion Esophageal lipomatous tumors are rare but potentially lethal when are intraluminal and originate from the cervical esophagus. Modern radiological imaging has improved diagnostic accuracy. Minimally invasive transoral and laparoscopic/thoracoscopic techniques represent the therapeutic approach of choice.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Esophageal Lipoma and Liposarcoma: A Systematic Review

et al. 2020

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“…Therapies for esophageal polyps generally include surgical intervention or removal by endoscopy, mainly determined by the lesion size and vessels that nourish the polyp. Surgical intervention can remove low risk esophageal polyps; however, neoplasm resection by endoscopy cannot be performed as an endoscopy cannot support severe bleeding . As reviewed in Table , esophageal polyps have been successfully removed by surgery; however, numerous reports have shown that bleeding complications of polyp removal by endoscopy could be avoided by comprehensive evaluation before surgery and careful surgical technique .…”

Section: Discussionmentioning

confidence: 99%

Gastroscopic removal of a giant fibrovascular polyp from the esophagus

Li¹,

Yu²,

Pu³

et al. 2016

Thoracic Cancer

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Giant polyps in the esophagus are rarely occurring benign tumors and may contain lipomas, fibrovascular polyps, fibrolipomas or neurofibromas polyps. Clinical symptoms include dysphagia, vomiting, retrosternal pain, shortness of breath, and asthma. In some cases, the polyps are regurgitated into the oral cavity and represent a spectacular manifestation. The reported case in this study was of a 50‐year‐old man who complained of emesia for half a year and dysphagia for one month before being hospitalized. Occasionally, a fleshly mass reached into his mouth. The results of endoscopic ultrasonography, barium swallow in the upper digestive tract, and a computed tomography scan demonstrated a giant polyp in the esophagus, which was subsequently removed by gastroscopy. Pathological examination determined a fibrovascular polyp.

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“…1 Polyps that reach a large size are called commonly giant fibrovascular polyps. 2 Giant fibrovascular polyps are usually larger than 4 cm. 3 Giant fibrovascular polyps of the hypopharynx are rarely encountered and asymptomatic in clinical practice.…”

Section: Anah Tar Ke LI Me Ler: Fibrovasküler Polip; Hipofarinks;mentioning

confidence: 99%

A Case of Giant Fibrovascular Polyp Arising from the Hypopharynx

Dikici¹

2023

KBB ve BBC Dergisi

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ABS TRACT Fibrovascular polyps originating from the hypopharynx are very rare. Giant fibrovascular polyps originating from the hypopharynx are benign tumors and can usually reach giant sizes within a few years. They grow up usually asymptomatic for a long time. Globus sensation, dysphagia, stridor or weight loss symptoms can be seen. Fibrovascular polyps can be visualized by endoscopy, computed tomography scan, and magnetic resonance imaging for determining of originated place and surgical planning before surgery. Depending on the origin, pedicle vascularity and size, the tumor can be excised by transoral or cervical approaches. In this case report, we presented a patient with a giant fibrovascular polyp originating from the hypopharynx, that we excised transorally.

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Giant fibrovascular polyp of the esophagus—imaging techniques for proper treatment planning: report of two cases

Cited by 11 publications

References 12 publications

Esophageal Lipoma and Liposarcoma: A Systematic Review

Esophageal Lipoma and Liposarcoma: A Systematic Review

Gastroscopic removal of a giant fibrovascular polyp from the esophagus

A Case of Giant Fibrovascular Polyp Arising from the Hypopharynx

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