Giant fibrovascular polyp of the esophagus

Patel, J. A.; Kieffer, Robert W.; Martin, Mary Hunt; Avant, George R.

doi:10.1016/0016-5085(84)90094-5

Cited by 64 publications

(39 citation statements)

References 14 publications

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“…Polyps begin as submucosal thickenings, later become nodular changes, and may be elongated by the peristaltic and traction forces of the esophagus during the swallowing process. The peristaltic forces can make the polyps quite large [8].…”

Section: Discussionmentioning

confidence: 99%

RETRACTED ARTICLE: Minimally Invasive Peroral Endoscopic Removal of a Regurgitated Giant Polysegmented Fibrovascular Polyp of the Esophagus

et al. 2008

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Giant fibrovascular polyps (FVP) are relatively rare benign neoplasms of the upper part of the esophagus. Without a previous history, their diagnosis might be difficult because the endoscopic findings are sometimes misinterpreted. The present report describes a case in which the patient regurgitated a giant polypoid mass into his mouth and captured it between his teeth and buccal surface until emergency endoscopic removal. Although the adequate therapy for these lesions is open surgical resection, most often via cervical esophagotomy, in our case the polyp was removed successfully by peroral endoscopy with minimally invasive surgery. After 5 years of follow-up the patient is doing well, without recurrence.

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Section: Discussionmentioning

confidence: 99%

RETRACTED ARTICLE: Minimally Invasive Peroral Endoscopic Removal of a Regurgitated Giant Polysegmented Fibrovascular Polyp of the Esophagus

et al. 2008

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“…Patients with fibrovascular polyps usually present with nonspecific dysphasia, sometimes accompanied by respiratory symptoms; regurgitating the polyp into the pharynx or mouth is rare [1]. Fibrovascular polyps almost always arise in the cervical esophagus near the level of the cricopharynx [7,8]. These lesions probably originate in the loose submucosal tissue of the cervical esophagus, gradually elongating over a period of years as they are dragged into the middle or distal third of the esophagus by esophageal peristalsis until the intraluminal portion of the lesion becomes massive [4,7].…”

Section: Discussionmentioning

confidence: 99%

Giant fibrovascular polyp of the esophagus successfully treated by endoscope-assisted resection

et al. 2005

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Fibrovascular polyps of the esophagus are extremely rare. A 52-year-old woman had the sensation of food sticking in her throat for 3 weeks. Examination revealed a polypoid lesion within the esophagus that extended from the pyriform sinus to the distal esophagus above the gastric cardia. With the patient under general anesthesia, the stalk of the lesion was cut through the rigid laryngoscope; however, the tumor could not be retrieved through the mouth. Large biopsies of the lesion were taken. The remaining lesion was later passed in the fecal matter. Pathological findings were consistent with the features of fibrovascular polyps.

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“…Approximately 85%-90% of the polyps arise from the proximal third of the esophagus where the mucosa is thin and pliable [2,3] . Hypothetically, the polyp may be starting from a mucosal fold or small tumor, which is then gradually forced downwards and gets elongated by the peristaltic waves [4] .…”

Section: Discussionmentioning

confidence: 99%

“…Depending on which histologic components predominate, these lesions have been called lipomas, fibromas, fibrolipomas, fibromyxomas, and fibroepithelial polyps [1,2] . Now, they have all been grouped and classified as FVPs after the recommendations of the World Health Organization's international histological classification of tumors [6] .…”

Section: Discussionmentioning

confidence: 99%

Giant Fibrovascular Polyp of Esophagus: One Case Report

Gong

Wang

Ding

et al. 2005

Chinese-German J Clin Oncol

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Esophageal polyps are very rare. One case of giant fibrovascular polyp of the esophagus was described. The patient had symptoms of dysphagia and hematemesis. After examinations, the diagnosis of esophageal leiomyoma was made. In the process of thoracic exploration, esophageal polyp was removed. The pathological diagnosis postoperation was giant fibrovascular polyp of the esophagus associated with mucoid degeneration.Giant fibrovascular polyp (GVP) of the esophagus is a rare intraluminal benign tumor. It contains different degrees of fibrous, vascular and adipose tissue and covers with normal mucosa. Most of the tumors arise from the proximal part of the esophagus near the cricopharyngeal muscle. In this paper, a 52-year-old man with GVP of the esophagus which was misdiagnosed as esophageal leiomyoma was described. Case ReportA 52-year-old man was admitted to our hospital with a history of dysphagia for solid food and weight loss over a period of 18 months. Hematemesis occurred two days prior to his admission. Physical examination revealed pale conjunctivae, and the rest was unremarkable. Laboratory tests showed hemoglobin was 8.3 g/dL. Stool occult blood was positive. Through blood transfusion and continuous gastrointestinal decompression, the bleeding was under control. A barium swallow examination showed a distended esophagus with a tumor extending from the esophagus at 20 cm to the distal esophagus. On magnetic resonance imaging, homogenous mass was seen (Fig. 1), which extended throughout the entire thoracic esophagus. Fiberoptic endoscopy and endoscopic ultrasound confirmed the presence of an intramural tumor extending from the proximal esophagus to the cardia. None of the imaging modalities used revealed evidence of intraluminal esophageal tumor. Under general anesthesia, the esophagus was approached through right posterlateral thoracotomy. It was

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Giant fibrovascular polyp of the esophagus

Cited by 64 publications

References 14 publications

RETRACTED ARTICLE: Minimally Invasive Peroral Endoscopic Removal of a Regurgitated Giant Polysegmented Fibrovascular Polyp of the Esophagus

RETRACTED ARTICLE: Minimally Invasive Peroral Endoscopic Removal of a Regurgitated Giant Polysegmented Fibrovascular Polyp of the Esophagus

Giant fibrovascular polyp of the esophagus successfully treated by endoscope-assisted resection

Giant Fibrovascular Polyp of Esophagus: One Case Report

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