Korean J Gastroenterol.  2016 May;67(5):253-256. 10.4166/kjg.2016.67.5.253.

A Case of Giant Fibrovascular Polyp of the Esophagus, Treated Successfully by Endoscopic Resection

• Lee JW
• Kim GH
• Kim JK
• Park CH
• Song BG
• Shin DH
• Ha DW
• Song GA

• KMID: 2164332
• DOI: http://doi.org/10.4166/kjg.2016.67.5.253

Abstract

Fibrovascular polyps are rare benign intraluminal tumors that usually arise from the cervical esophagus. These often present as very large sized pedunculated polyps and cause symptoms including dysphagia and respiratory distress. Generally, large polyps are surgically excised, while endoscopic resection is limited to smaller polyps. Herein, we present a giant fibrovascular polyp of the esophagus treated successfully by endoscopic resection.

Keyword

Fibrovascular polyp; Benign esophageal tumor; Endoscopic resection

MeSH Terms

Deglutition Disorders
Esophagus*
Polyps*

Figure

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  Fig. 1. Endoscopic and endosonographic findings. (A) An about 10 cm sized sausage-shaped pedunculated polyp arises from the cervical esophagus. (B) Endosonography shows a hyperechoic homogenous lesion with clear margin on the third layer of the esophagus.

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  Fig. 2. Endoscopic resection and macroscopic findings. (A) Endoscopic resection is done with a polypectomy snare. (B) The resected specimen is 12.5×3.2×1.5 cm.

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  Fig. 3. Histopathologic findings (H&E). (A) The polyp is covered with benign squamous epithelium. The core of the polyp is composed of loose fibrous tissues, adipose cells, and blood vessels (×100). (B) On high magnifying view, spindle cells set in collagenous matrix, scattered small blood vessels and inflammatory cells are seen (×400).

Reference

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