TY - JOUR
T1 - Giant fibrovascular polyp of the esophagus
T2 - Report of a case
AU - Goenka, Ajit Harishkumar
AU - Sharma, Sanjay
AU - Ramachandran, Vijay
AU - Chattopadhyay, Tushar K.
AU - Ray, Ruma
PY - 2011/1
Y1 - 2011/1
N2 - A fibrovascular polyp is a peculiar nonepithelial tumor of the esophagus that invariably arises in the cervical esophagus at the level of the thoracic inlet and grows distally into a massive elongated, pedunculated, intraluminal lesion. Although it is a benign lesion that is eminently resectable, it is a dramatic entity owing to its tendency to cause bizarre complications such as asphyxia and sudden death when it regurgitates into the pharynx and causes laryngeal impaction. This report describes the multimodality imaging appearance of an archetypal case of a giant fibrovascular polyp in a patient with a seemingly innocuous presentation for the size of the lesion. The essential role of cross-sectional imaging in establishing a prompt diagnosis, defining the tissue elements of the mass, and delineation of the exact extent of the lesion in guiding the treatment approach is highlighted. The appearance of fibrovascular polyp in a single patient with a combination of barium swallow, multidetector computed tomography, and high-resolution contrast-enhanced magnetic resonance imaging has not been reported previously.
AB - A fibrovascular polyp is a peculiar nonepithelial tumor of the esophagus that invariably arises in the cervical esophagus at the level of the thoracic inlet and grows distally into a massive elongated, pedunculated, intraluminal lesion. Although it is a benign lesion that is eminently resectable, it is a dramatic entity owing to its tendency to cause bizarre complications such as asphyxia and sudden death when it regurgitates into the pharynx and causes laryngeal impaction. This report describes the multimodality imaging appearance of an archetypal case of a giant fibrovascular polyp in a patient with a seemingly innocuous presentation for the size of the lesion. The essential role of cross-sectional imaging in establishing a prompt diagnosis, defining the tissue elements of the mass, and delineation of the exact extent of the lesion in guiding the treatment approach is highlighted. The appearance of fibrovascular polyp in a single patient with a combination of barium swallow, multidetector computed tomography, and high-resolution contrast-enhanced magnetic resonance imaging has not been reported previously.
KW - Endoscopy
KW - Esophageal neoplasm
KW - Magnetic resonance imaging
KW - Spiral computed tomography
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U2 - 10.1007/s00595-009-4212-5
DO - 10.1007/s00595-009-4212-5
M3 - Article
C2 - 21191703
AN - SCOPUS:78651298168
SN - 0941-1291
VL - 41
SP - 120
EP - 124
JO - Surgery Today
JF - Surgery Today
IS - 1
ER -