Large Pedunculated Polyps Originating in the Esophagus and Hypopharynx

Caceres, Manuel; Steeb, Glen; Wilks, Sarah M.; Garrett, H. Edward

doi:10.1016/j.athoracsur.2005.05.106

Cited by 82 publications

(105 citation statements)

References 22 publications

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“…Giant fibrovascular polyps are defined as polyps larger than 5 cm in maximum diameter. To date, there are just over 100 reported cases in the literature and the largest single series consists of 16 patients [2,3] . They are slow growing, pedunculated tumor masses that often arise from the upper esophagus, near the level of the cricopharyngeus at the pharyngo-esophageal junction, and this area has also been termed as the Laimer-Haeckermann triangle (also known as the Laimer's triangle) [4] .…”

Section: Discussionmentioning

confidence: 99%

“…We advocate an individualized surgical strategy according to the characteristics of each polyp and recommend that in difficult cases [recurrent cases, patients with more than one polyp or patients with a large polyp (> 5 cm) with a long stalk (> 5 cm)] esophagotomy via thoracotomy should be considered for good control of hemostasis as well as for providing adequate exposure for resection of the pedicle's origin and any redundant mucosa around the pedicle. Recur rence of giant fibrovascular polyps is rare but has been described [2,12,13] . We believe that residual tissue around the pedicle's base may cause recurrent polyp formation which we hypothesize is the reason for the recurrent nature of polyp formation in our patient.…”

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confidence: 99%

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Recurrent giant fibrovascular polyp of the esophagus

Lee¹,

Chan²,

Sivanandan³

et al. 2009

WJG

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Giant fibrovascular polyps of the esophagus and hypopharynx are rare benign esophageal tumors. They arise most commonly in the upper esophagus and may, rarely, originate in the hypopharynx. They can vary significantly in size. Even though they are benign, they may be lethal due to either bleeding or, rarely, asphyxiation if a large polyp is regurgitated. Patients commonly present with dysphagia or hematemesis. The polyps may not be well visualized on endoscopy and imaging plays a vital role in aiding diagnosis as well as providing important information for preoperative planning, such as the location of the pedicle, the vascularity of the polyp and the tissue elements of the mass. They can also be recurrent in rare cases, especially if the resection margins of the base are involved. We review the recent literature and report a case of a 61-year-old man with a recurrent giant esophageal fibrovascular polyp with illustrative contrast barium swallow, CT and intra-operative images, who required several surgeries via a combination of endoscopic, trans-oral, trans-cervical, trans-thoracic and trans-abdominal approaches.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Recurrent giant fibrovascular polyp of the esophagus

Lee¹,

Chan²,

Sivanandan³

et al. 2009

WJG

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“…Esophageal hamartomas are rare and account for approximately 6% of large resected hypopharyngeal and esophageal polyps (2). Esophageal chondromatous hamartomas, which are histologically composed of nodules of proliferating hyaline cartilage and spindle cells, are very rare (3).…”

Section: Introductionmentioning

confidence: 99%

Chondromatous hamartoma of cervical esophagus: a case report and literature review

Zhang

Wang

et al. 2017

J. Thorac. Dis.

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Esophageal chondromatous hamartomas are very rare tumors, characterized by proliferating hyaline cartilage cells. We described the case of a 64-year-old woman, with a progressive foreign body sensation in the laryngopharynx caused by an intraluminal pedicled mass. Transcervical esophagectomy was performed and intraoperative biopsy revealed the mass was a cervical esophageal chondromatous hamartoma.The patient's postoperative course was uneventful and she recovered well. A review of the literature was conducted, and the symptoms, locations, histopathology findings, treatment methods and follow up results of esophageal hamartoma cases were summarized. We found that pre-operative endoscopic ultrasonographyguided fine-needle aspiration (EUS-FNA) can aid in diagnosis and that aggressive surgical treatment should be recommended for cervical esophageal hamartomas.

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“…Are pedunculated, intraluminal, covered by normal mucosa and composed of vascular, adipose and fibrous tissue 3 . It originates usually on the proximal third of the esophagus and can reach large dimensions.…”

Section: Introductionmentioning

confidence: 99%