title: Recurrent giant fibrovascular polyp of the esophagus.
abstract: Giant fibrovascular polyps of the esophagus and hypopharynx are rare benign esophageal tumors. They arise most commonly in the upper esophagus and may, rarely, originate in the hypopharynx. They can vary significantly in size. Even though they are benign, they may be lethal due to either bleeding or, rarely, asphyxiation if a large polyp is regurgitated. Patients commonly present with dysphagia or hematemesis. The polyps may not be well visualized on endoscopy and imaging plays a vital role in aiding diagnosis as well as providing important information for pre-operative planning, such as the location of the pedicle, the vascularity of the polyp and the tissue elements of the mass. They can also be recurrent in rare cases, especially if the resection margins of the base are involved. We review the recent literature and report a case of a 61-year-old man with a recurrent giant esophageal fibrovascular polyp with illustrative contrast barium swallow, CT and intra-operative images, who required several surgeries via a combination of endoscopic, trans-oral, trans-cervical, trans-thoracic and trans-abdominal approaches.
authors: Department of General Surgery, Singapore General Hospital, Singapore. seryee54@yahoo.co.uk
authors: Ser Yee
authors: SY
authors: Lee
authors: Weng Hoong
authors: WH
authors: Chan
authors: Ranjiv
authors: R
authors: Sivanandan
authors: Dennis Teck Hock
authors: DT
authors: Lim
authors: Wai Keong
authors: WK
authors: Wong
mesh_terms: D004938:Esophageal Neoplasms / Q000473:pathology / Q000601:surgery*; D004947:Esophagus / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000601:surgery*; D011127:Polyps / Q000473:pathology / Q000601:surgery*