Pólipo fibrovascular gigante do esôfago: desafio diagnóstico

Madeira, Filipe P.; Justo, Jonatan William Rodrigues; Wietzycoski, Cácio Ricardo; Burttet, Lucas Medeiros; Kruel, Cléber Dario Pinto; Rosa, Amélia Paes de Andrade Travassos da

doi:10.1590/s0102-67202013000100017

Cited by 7 publications

(8 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…FVPs are rare benign tumors, with a few more than 100 cases reported in the literature today, 3 usually originating in the cervical esophagus near the upper esophageal sphincter. 1 FVPs originating in the hypopharynx are even more unusual, with only a few cases described up to now.…”

Section: Discussionmentioning

confidence: 99%

“…The differential diagnosis of FVPs includes other conditions that produce similar symptoms, such as acalasia, pharyngeal or esophageal compression by extrinsic lesions or other intraluminal polypoid lesions (lipomas, inflammatory polyps, hemangiomas, lymphangiomas, schwannomas, or leiomyosarcomas, as well as other rare tumors such as carcinoid tumors or paragangliomas). 3 5 However, on imaging studies, FVPs appear as typical smooth and elongated sausage-shaped masses, with discreetly bullous tips, well represented on Fig. 3 .…”

Section: Review Of Literature With Differential Diagnosismentioning

confidence: 92%

“…Identification of the lesion is much easier when the patient is able to regurgitate it into the oral cavity. 3 When similar lesions arise from the esophagus, up to 25% are undetected on endoscopic examination. 4 This happens because these lesions are typically very similar to the normal hypopharyngeal and esophageal mucosa.…”

Section: Review Of Literature With Differential Diagnosismentioning

confidence: 99%

“…Regarding other diagnostic exams, a barium swallow normally reveals an esophageal lumen defect, but often fails to identify its origin, absolutely necessary for surgical planning. 3 …”

Section: Review Of Literature With Differential Diagnosismentioning

confidence: 99%

“…Even when the diagnosis has been previously established by other methods, in larger lesions, CT scans of the neck and thorax are necessary to establish the limits and size of the lesion, its relation to the esophagus, and the origin of the stalk, all factors that define the optimal surgical technique for resection. 3 MRI is superior to CT when vascularization must be assessed. 5 …”

Section: Review Of Literature With Differential Diagnosismentioning

confidence: 99%

See 4 more Smart Citations

Giant Fibrovascular Polyp of the Larynx

Nascimento¹,

Santos

Pinheiro³

2014

Int. Arch. Otorhinolaryngol.

View full text Add to dashboard Cite

Introduction Fibrovascular polyps (FVPs) are rare benign tumors originating in the cervical esophagus, and, rarely, in the hypopharynx. A case of FVP from the larynx has not yet been described in the literature. Objectives To discuss a unique case of FVP originating in the larynx. Resumed Report A 58-year-old woman presented with a 6-month history of progressive dysphagia. Endoscopic exams identified an elongated polypoid lesion originating from the mucosa of the epiglottis and the right pharyngoepiglottic fold. Excision of this mass under direct laryngoscopy revealed an 11.5 × 0.8-cm polypoid lesion, histologically diagnosed as an FVP. Conclusion The location of this FVP is important because, despite being a benign tumor, it carries a potentially lethal risk of upper airway obstruction.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Review Of Literature With Differential Diagnosismentioning

confidence: 92%

Section: Review Of Literature With Differential Diagnosismentioning

confidence: 99%

“…Regarding other diagnostic exams, a barium swallow normally reveals an esophageal lumen defect, but often fails to identify its origin, absolutely necessary for surgical planning. 3 …”

Section: Review Of Literature With Differential Diagnosismentioning

confidence: 99%

Section: Review Of Literature With Differential Diagnosismentioning

confidence: 99%

See 3 more Smart Citations

Giant Fibrovascular Polyp of the Larynx

Nascimento¹,

Santos

Pinheiro³

2014

Int. Arch. Otorhinolaryngol.

View full text Add to dashboard Cite

show abstract

Esophageal Lipoma and Liposarcoma: A Systematic Review

et al. 2020

View full text Add to dashboard Cite

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.

show abstract