Large pedunculated fibrovascular polyp of oesophagus in a young woman

a Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi 110029, India b Department of ENT, All India Institute of Medical Sciences, New Delhi, India c Department of Pathology, All India Institute of Medical Sciences, New Delhi, India *Corresponding author. Tel.: +91-...

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Bibliographic Details
Published in:Interactive cardiovascular and thoracic surgery 2009-08, Vol.9 (2), p.352-353
Main Authors: Dutta, Roman, Kumar, Arvind, Handa, Kumud Kumar, Dinda, Amit Kumar
Format: Article
Language:English
Subjects:
Adult
Barium Sulfate
Contrast Media
Deglutition Disorders - etiology
Deglutition Disorders - surgery
Esophageal Neoplasms - complications
Esophageal Neoplasms - diagnosis
Esophageal Neoplasms - surgery
Esophagectomy
Female
Humans
Intubation, Intratracheal
Laryngoscopy
Polyps - complications
Polyps - diagnosis
Polyps - surgery
Tomography, X-Ray Computed
Tracheotomy
Treatment Outcome
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Summary:a Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi 110029, India b Department of ENT, All India Institute of Medical Sciences, New Delhi, India c Department of Pathology, All India Institute of Medical Sciences, New Delhi, India *Corresponding author. Tel.: +91-11-26593460; fax: +91-11-26588259, +91-11-26588663. E-mail address : arvindreena{at}hotmail.com (A. Kumar). A 25-year-old female patient with a history of progressive dysphagia of one year duration was detected to have intraluminal polypoidal mass in the oesophagus on barium contrast study and computed tomography. Direct laryngoscopy and flexible endoscopy confirmed the origin from pharyngo-oesophageal junction. Lateral cervical oesophagotomy and excision of a polypoidal mass of 15 x 6.5 x 3 cm size was done. Histopathology revealed fibrovascular polyp (FVP) arising from submucosa of oesophagus. FVP is a benign tumour-like condition which can attain an enormous size inside the lumen of the oesophagus. It predisposes the patient to aspiration due to incomplete vocal cord adduction and asphyxia due to possible laryngeal inlet block and thus, threatening life. Complete surgical excision through lateral oesophagotomy is the standard treatment and provides cure in the majority of cases. Key Words: Fibrovascular polyp; Dysphagia; Oesophagus
ISSN:1569-9293
1569-9285
DOI:10.1510/icvts.2009.207696