Giant Fibrovascular Polyp of the Esophagus: A Novel Technical Approach

Trakál, Juan José; Sarquis, Guillermo; Muñoz, Juan Antonio; Barril, Sergio; Trakál, E; Armando, Lucas; Ipiña, Rosa Carolina Gorordo

doi:10.1155/2012/562363

Cited by 4 publications

(9 citation statements)

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“…4 GFPs account for approximately 2% of benign oesophageal tumours. 5 They typically arise in middle aged patients, with a male-to-female ratio of 3:1. 1,3 Single cases of GFP in children have been reported as well.…”

Section: Discussionmentioning

confidence: 99%

“…6 Patients with GFP mainly present with clinical signs of dysphagia (87%), dyspnoea (25%), regurgitation of the growing polyp (12%), weight loss or anaemia due to occult bleeding. 2,5,7 In some cases, regurgitation of the polyp can compromise the airways. Around a third of patients die owing to an oesophagus polyp causing respiratory distress, with symptoms starting to occur when the polyp grows to a size of about 5cm in length.…”

Section: Discussionmentioning

confidence: 99%

“…1,3 On endoscopic ultrasonography, GFPs appear as smooth, ballooning, often sausage-like masses, as in our patient. 5,9 Barium swallow provides a functional view of the mass and helps to distinguish it from fixed stenosis, achalasia or other causes of oesophageal obstruction. 1,2 CT or MRI studies are mandatory and can detect local infiltration or distant metastasis.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 CT or MRI studies are mandatory and can detect local infiltration or distant metastasis. 1,5,7,9,10 Oesophageal polyps should be resected completely to prevent recurrence, malignant transformation and further complications such as regurgitation, asphyxia or death. 1,7,11 Resection can be performed endoscopically (if the polyp is not too big) or surgically.…”

Section: Discussionmentioning

confidence: 99%

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Pedunculated, well differentiated liposarcoma of the oesophagus mimicking giant fibrovascular polyp

Mehdorn

Steinestel

Wardelmann

et al. 2017

annals

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We present a rare case of a big oesophageal liposarcoma causing dysphagia and weight loss in a 75-year-old patient. Endoscopically, a pedunculated lesion with subtotal obstruction of the oesophageal lumen had been detected and thoracoabdominal oesophageal resection with gastric sleeve reconstruction was performed. Surprisingly, a liposarcoma of the oesophagus was revealed on histopathological analysis, showing MDM2 overexpression. Oncological follow-up has been uneventful and the patient remains in good clinical shape at 15 months after surgery.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Pedunculated, well differentiated liposarcoma of the oesophagus mimicking giant fibrovascular polyp

Mehdorn

Steinestel

Wardelmann

et al. 2017

annals

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“…Genellikle proksimal özofagusta ve krikofarengeal kas yakınında ortaya çıkar (1)(2)(3). En sık karşılaşılan yakınmalar, ilerleyen solunum ve yutma güçlükleri ve boğazda yabancı cisim hissinin varlığıdır.…”

Section: Introductionunclassified

A Case of Fibrovascular Polyp of the Esophagus

Topal¹,

Gönüllü²,

Köksoy³

2014

JAREM

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ÖZETHipofarenks ve özofagusun fibrovasküler polipleri, nadir görülen benign, intraluminal ve submukozal tümörlerdir. En sık proksimal özofagusda görülmektedir. Hasta, solunum ve yutma güçlüğü, boğazda takılma ve kitle hissi ile tarafımıza başvurdu. Endoskopik tanı sonrasında, transvers özofagotomi ile polip eksizyonu yapıldı. Damarsal yapılardan zengin olması nedeniyle, endoskopik polipektomi güç olabilir. Bu tür olgularda cerrahi eksizyon planlanmalıdır. Biz solunum sıkıntısı, asfiksi ve tanısal problemlere neden olabilmesi nedeniyle fibrovasküler polipli bir olguyu tartışmayı amaçladık. (JAREM 2013; 3: 126-8) Anahtar Sözcükler: Fibrovasküler polip, transvers özofagotomi, asfiksi ABSTRACT Fibrovascular polyps of the esophagus and hypopharynx are rare, benign intraluminal and submucosal tumors. They arise most commonly in the upper esophagus. The patient presented to us with dyspnea, difficulty in swallowing and a feeling of mass. Polyp excision was made with tranverse esophagotomy after the endoscopic diagnosis. Endoscopic polypectomy may be difficult due to the rich vascular structure. Therefore surgical excision should be made in such patients. We aim to discuss a case with fibrovascular polyp, for it can cause asphyxia, respiratory distress and diagnostic problems. (JAREM 2013; 3: 126-8) GİRİŞHipofarinks ve yemek borusunun fibrovasküler polipleri, nadir görülen intraluminal, submukozal yerleşimli benign tümörlerdir. Genellikle proksimal özofagusta ve krikofarengeal kas yakınında ortaya çıkar (1-3). En sık karşılaşılan yakınmalar, ilerleyen solunum ve yutma güçlükleri ve boğazda yabancı cisim hissinin varlığıdır. İlerleyici solunum sıkıntısı en ciddi yakınma olup, polibin solunum yolunu tıkaması asfiksiye yol açabilir. Bu olgu çok nadir görülmesi ve yaşamsal risk taşıması nedeniyle tartışmaya sunulmuştur. OLGU SUNUMUKırk beş yaşında kadın hasta, son 6 aydır giderek artan boğazda takılma hissi, özellikle katı gıdalara karşı yutma güçlüğü ve solunum zorluğu şikâyetleri ile tarafımıza başvurmuş ve son 3 ay içeri-sinde solunum sıkıntısının giderek arttığını ifade etmiştir. Yapılan özofagoskopide üst özofagus başlangıcında, sol postero-lateral duvarda, yüzeyi düzgün, 4 cm çapında büyük bir polip tespit edilmiş ve kitlenin yutkunmakla supraglottik bölgeyi işgal ettiği (asfiksi tehlikesi) anlaşılmıştır (Resim 1).Kitle çapının büyük ve görünümünün vasküler yoğunluklu olması nedeniyle cerrahi eksizyona karar verilmiş, sol transvers servikal insizyonu takiben kitle üzerine yapılan özofagotomi sonrasında, krikofarengeal kasın hemen altındaki polip eksize edilmiştir (Resim 2).Ameliyat sonrasındaki takipleri sorunsuz seyreden hasta, normal beslenmeyi takiben 7. günde evine gönderilmiştir.Histopatolojisinde, fibröz stromalı, bazıları dilate ve konjesyone olmak üzere çok sayıda vasküler yapıdan oluşan, çevresinde mükoz bezler barındıran, prolifere polipoid kitle belirlenmiştir. İnflamasyon, displazi veya malignite bulgusu saptanmayan kitle, fibrovasküler polip olarak adlandırılmıştır (Resim 3).Eylül 2012'de yapılan ...

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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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Giant Fibrovascular Polyp of the Esophagus: A Novel Technical Approach

Cited by 4 publications

References 8 publications

Pedunculated, well differentiated liposarcoma of the oesophagus mimicking giant fibrovascular polyp

Pedunculated, well differentiated liposarcoma of the oesophagus mimicking giant fibrovascular polyp

A Case of Fibrovascular Polyp of the Esophagus

Esophageal Lipoma and Liposarcoma: A Systematic Review

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