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Giant fibrovascular polyp of the esophagus: Report of a case

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Abstract

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.

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Authors and Affiliations

  1. Department of Radiology, All India Institute of Medical Sciences (AIIMS), Ansari Nagar, New Delhi, 110029, India

    Ajit Harishkumar Goenka & Sanjay Sharma

  2. Department of Gastrointestinal Surgery, All India Institute of Medical Sciences (AIIMS), Ansari Nagar, New Delhi, 110029, India

    Vijay Ramachandran & Tushar K. Chattopadhyay

  3. Department of Pathology, All India Institute of Medical Sciences (AIIMS), Ansari Nagar, New Delhi, 110029, India

    Ruma Ray

Authors
  1. Ajit Harishkumar Goenka
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  2. Sanjay Sharma
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  3. Vijay Ramachandran
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  4. Tushar K. Chattopadhyay
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  5. Ruma Ray
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Goenka, A.H., Sharma, S., Ramachandran, V. et al. Giant fibrovascular polyp of the esophagus: Report of a case. Surg Today 41, 120–124 (2011). https://doi.org/10.1007/s00595-009-4212-5

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  • DOI: https://doi.org/10.1007/s00595-009-4212-5

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