Oesophageal fibrovascular polyp

Oesophageal fibrovascular polyps are benign intraluminal submucosal pedunculated tumours that can grow significantly and cause dysphagia symptoms. They usually occur in the upper third of the oesophagus, at the level of the upper oesophageal sphincter. 

They were previously denominated as lipomas, fibromas, or fibrolipomatous polyps of the oesophagus, but all these terms have been replaced accordingly to the World Heath Organization classification system 1-3

Symptoms are related to the size of the tumour with dysphagia being the most common complaint. Respiratory symptoms are also frequent and cases of tumours with long stalk being regurgitated into the pharynx have been described as a cause of death from asphyxiation 4-5.

Plain radiograph

Can occasionally be identified as a right-sided superior mediastinal mass with associated anterior tracheal bowing.

Fluoroscopy 

Proximal oesophagus intraluminal filling defect mass with smooth contours extending inferiorly into the thoracic oesophagus. 

CT

Well-defined solid mass expanding the lumen of the proximal oesophagus. Fat-attenuated components may be present in lesions with abundant adipose tissue 1.


Oesophageal pathology
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Article Information

rID: 48723
Section: Pathology
Synonyms or Alternate Spellings:
  • Fibrovascular polyp of the oesophagus

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