Esophageal fibrovascular polyps are benign intraluminal submucosal pedunculated tumors that can grow significantly and cause dysphagia symptoms. They usually occur in the upper third of the oesophagus, at the level of the upper esophageal sphincter.
They were previously denominated esophageal lipomas, fibromas, or fibrolipomatous polyps of the esophagus, but all these terms have been replaced accordingly to the World Health Organization classification system 1-3.
Symptoms are related to the size of a tumor with dysphagia being the most common complaint. Respiratory symptoms are also frequent and cases of tumors with long stalk being regurgitated into the pharynx have been described as a cause of death from asphyxiation 4-5.
It can occasionally be identified as a right-sided superior mediastinal mass with associated anterior tracheal bowing.
Proximal esophagus intraluminal, sausage-shaped filling defect mass with smooth contours extending inferiorly into the thoracic esophagus.
Well-defined solid mass expanding the lumen of the proximal esophagus. Fat-attenuated components may be present in lesions with abundant adipose tissue 1.
- 1. Jang KM, Lee KS, Lee SJ et-al. The spectrum of benign esophageal lesions: imaging findings. Korean J Radiol. 2003;3 (3): 199-210. Free text at pubmed - Pubmed citation
- 2. Chourmouzi D, Drevelegas A. Giant fibrovascular polyp of the oesophagus: a case report and review of the literature. J Med Case Rep. 2008;2 (1): 337. doi:10.1186/1752-1947-2-337 - Free text at pubmed - Pubmed citation
- 3. Drenth J, Wobbes T, Bonenkamp JJ et-al. Recurrent esophageal fibrovascular polyps: case history and review of the literature. Dig. Dis. Sci. 2002;47 (11): 2598-604. Pubmed citation
- 4. Carrick C, Collins KA, Lee CJ et-al. Sudden death due to asphyxia by esophageal polyp: two case reports and review of asphyxial deaths. Am J Forensic Med Pathol. 2005;26 (3): 275-81. Pubmed citation
- 5. Cochet B, Hohl P, Sans M et-al. Asphyxia caused by laryngeal impaction of an esophageal polyp. Arch Otolaryngol. 1980;106 (3): 176-8. Pubmed citation
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