Giant Fibrovascular Polyp of the Esophagus

Lolley, David M.; Razzuk, Maruf A.; Urschel, Harold C.

doi:10.1016/s0003-4975(10)64973-9

Cited by 29 publications

(8 citation statements)

References 9 publications

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“…Endoscopic ultrasonography (EUS) confirms the diagnosis as a hypoechoic mass in the intramural esophagus 14 –16 . The proximal esophagus is often a site of fibrovascular polyps 17 , 18 . These, however, occur on long stalks and rarely ulcerate.…”

Section: Discussionmentioning

confidence: 94%

Inflammatory pseudotumor of the esophagus

Saklani

Pramesh

Heroor

et al. 2001

Diseases of the Esophagus

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Inflammatory pseudotumors of the esophagus are uncommon. They pose diagnostic and therapeutic dilemmas, especially when located in the cervical esophagus. History and physical examination are rarely contributory. Routine radiologic investigations including barium swallow and computed tomography only raise the suspicion of a benign esophageal neoplasm. Esophagoscopy and biopsy do not provide a definite diagnosis, as these 'tumors' are frequently submucosal, unless they enlarge sufficiently to cause mucosal ulcerations. Endoscopic ultrasonography may accurately localize the tumor but is not diagnostic. Conservative surgical resection or debulking would be both diagnostic and therapeutic. Steroids, cyclophosphamide and low-dose radiotherapy may at best be considered second-line therapy. One such case of inflammatory pseudotumor of the cervical esophagus is presented and the relevant literature is reviewed. Our patient could not be diagnosed on preoperative investigations and required an esophagotomy with frozen section. We debulked the mass and the patient is asymptomatic 6 months after surgery.

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Section: Discussionmentioning

confidence: 94%

Inflammatory pseudotumor of the esophagus

Saklani

Pramesh

Heroor

et al. 2001

Diseases of the Esophagus

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“…Because, in part, of their bland histology, EGFPs have been described as tumorlike lesions rather than as true neoplasms. Indeed, they are thought by some to represent redundant esophageal folds that grow and elongate because of peristalsis [1,9,10,[12][13][14].…”

Section: Discussionmentioning

confidence: 99%

Cytogenetic and comparative genomic hybridization studies of an esophageal giant fibrovascular polyp: a case report

Bane

Lee

et al. 2012

Human Pathology

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“…It may be hypothesized that they grow as nodular submucosal thickenings or redundant folds. The lack of a muscular support, the changes in the normal mucosa tension and the peristaltic forces generated during deglutition by hypopharinx and esophagus may all contribute to mucosal polypoid degeneration 5,7,9,10 …”

Section: Discussionmentioning

confidence: 99%

Giant fibrovascular polyp of the esophagus

Solerio

Gasparri

Ruffini

et al. 2005

Diseases of the Esophagus

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Giant fibrovascular polyps are uncommon benign esophageal tumors almost always originating from the cervical esophagus, frequently from the upper esophageal sphincter. The case of a 74-year-old man with a long history of dysphagia and a weight loss of 9 kg is presented. Neither barium esophagogram, computed tomogram or magnetic resonance imaging correctly evidenced the lesion. Only fiberoptic endoscopy suggested the correct diagnosis because the mass fluctuated endoluminally with the spasm of vomiting. A left cervical exploratory incision with esophagotomy was performed following the experience of two previous similar cases. A giant fibrovascular polyp was observed and excised. If a malignant or benign extensive intramural tumor had been identified, a total esophagectomy would have been performed. In our opinion the possibility of the presence of a fibrovascular polyp should always be considered in the presence of an undetermined esophageal mass, and in these cases a left cervical incision is the preferred surgical access. Once the correct diagnosis is established, a major esophageal resection should always be avoided.

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Giant Fibrovascular Polyp of the Esophagus

Cited by 29 publications

References 9 publications

Inflammatory pseudotumor of the esophagus

Inflammatory pseudotumor of the esophagus

Cytogenetic and comparative genomic hybridization studies of an esophageal giant fibrovascular polyp: a case report

Giant fibrovascular polyp of the esophagus

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