Difficult polypectomy-giant hypopharyngeal polyp: Case report and literature review

Abstract

Giant esophageal and hypopharyngeal polyps are benign tumors rarely encountered in clinical practice. In most cases, they are completely asymptomatic; however, despite the rarity of these tumors, interest in giant esophageal polyps derives from their degree of growth (characterized by slow growth into the esophageal lumen) and their mobility. In fact, if regurgitation occurs, they can ascend into the oral cavity and be aspirated into the airways, with potentially lethal consequences. The removal of these giant polyps is recommended. An adequate preoperative evaluation to identify the correct origin of the stalk is mandatory for a successful endoscopic or surgical treatment. A 60-year-old man was admitted to our hospital for anemia. The patient underwent gastroscopy, contrast computed tomography and endoscopic ultrasound. At the conclusion of the procedure, during the extraction of the echoendoscope, the patient began retching and regurgitated the polyp, without experiencing respiratory distress. The patient underwent a left cervicotomy and polyp dissection via a pharyngotomy.

Giant pedunclated lipoma of the esophagus: A case report

“…The choice of intervention, which is either endoscopic or surgical approaches, does not depend on only tumor size or location of the mass, but also the presence of the stalk. Therefore, the preoperative evaluation is essential, as accurately as possible, although identification of the stalk by barium esophagogram or endoscopy tend to be false negative according to a previous review [5].…”

“…Although the lipoma is pathologically benign and asymptomatic, if it is large enough, it may cause progressive airway obstruction or dysphagia. Therefore, surgical excision of esophageal lipoma is indicated when either symptomatic or biological behavior is unclear, although malignant degeneration of the lipoma is rare [5]. We herein report an extremely rare case of giant pedunclated lipoma of the esophagus presenting dyspnea.…”

Gastroscopic removal of a giant fibrovascular polyp from the esophagus

“…Esophageal polyps are a kind of rare benign tumor of the esophagus, consisting of material such as fibrous tissue, blood vessels, and adipose tissue, with a morbidity rate lower than that of esophageal laevicellulare . Esophageal polyps are commonly located at the upper third of the esophagus, originating from mucosa or submucosa.…”

Thyroid Ultrasound Pitfalls: Esophageal Fibrovascular Polyp Mimicking Thyroid Nodule

“…These pedunculated intraluminal masses can demonstrate massive growth, leading to sudden death by block of the larynx and trachea [ 3 ]. Due to such potentially disastrous complications, removal of benign esophageal polyps is recommended [ 4 ]. Actually, our patient was referred to surgery because of the histological suspicion of a squamous cell papilloma, a lesion with malignant potential [ 5 ].…”