Echoendosonographic and histologic correlation of a fibrovascular polyp of the esophagus

Lawrence, Steven P.; Larsen, Bryan R.; Stacy, Carl C.; McNally, Peter R.

doi:10.1016/s0016-5107(94)70018-4

Cited by 17 publications

(7 citation statements)

References 6 publications

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“…Cineradiography shows movement of the mass with deglutition. An EUS also confirms the diagnosis by the presence of fat, fibrous tissue, and a vascular stalk 16 …”

Section: Discussionmentioning

confidence: 68%

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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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“…Cineradiography shows movement of the mass with deglutition. An EUS also confirms the diagnosis by the presence of fat, fibrous tissue, and a vascular stalk 16 …”

Section: Discussionmentioning

confidence: 68%

“…Leiomyomas, however, are rare in the cervical esophagus and are intramural. 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 .…”

Section: Discussionmentioning

confidence: 91%

Inflammatory pseudotumor of the esophagus

Saklani

Pramesh

Heroor

et al. 2001

Diseases of the Esophagus

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“…It is not difficult to distinguish esophageal inflammatory fibrous polyp from leiomyoma, which is usually relatively flat, and non-pedunculated intramural lesions in the middle and lower third of the esophagus [13] . EUS has been reported as a method to demonstrate the submucosal origin of analogical polyps [14,15] . As a result of its special origin, there may be uncontrollable bleeding during endoscopic resection.…”

Section: Discussionmentioning

confidence: 99%

Successful endoscopic removal of a giant upper esophageal inflammatory fibrous polyp

Zhang

Hao²,

Li³

et al. 2009

WJG

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“…Even giant polyps can be missed on upper endoscopy [4,15,[18][19][20]. Potential explanations are blind intubation resulting in overlooking the stalk, normal appearing esophageal mucosa lining these tumors, and mistaking the distal bulbous tip of the polyp for unspecific asymmetrical luminal narrowing in the mid or lower esophagus.…”

Section: -691x C 2006 Lippincott Williams and Wilkinsmentioning

confidence: 99%

“…Other techniques such as endoscopic ultrasound [18,21], computed tomography and magnetic resonance [20,22,23] have been described as useful in diagnosing fibrovascular polyps of the esophagus. Such elaborate examinations, however, are no prerequisites for timely surgical removal.…”

Section: -691x C 2006 Lippincott Williams and Wilkinsmentioning

confidence: 99%

Giant fibrovascular polyp of the esophagus

Lüthen

Janzik

Derichs

et al. 2006

European Journal of Gastroenterology & Hepatology

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Fibrovascular polyps of the esophagus are benign, pedunculated tumors that consist mostly of connective tissue and can reach impressive sizes. They arise from the upper third of the esophagus and may produce symptoms of dysphagia, progressive weight loss and regurgitation. The most serious clinical presentation is asphyxia secondary to laryngeal obstruction. Despite their size, diagnosis may be difficult. The location of the stalk and the vascularity makes surgical resection the preferred mode of removal of these unusual polyps.

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Echoendosonographic and histologic correlation of a fibrovascular polyp of the esophagus

Cited by 17 publications

References 6 publications

Inflammatory pseudotumor of the esophagus

Inflammatory pseudotumor of the esophagus

Successful endoscopic removal of a giant upper esophageal inflammatory fibrous polyp

Giant fibrovascular polyp of the esophagus

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