title: Giant fibrovascular polyp of the hypopharynx: per-oral endoscopic removal.
abstract: OBJECTIVE
  We report an extremely rare case of giant fibrovascular polyp of the hypopharynx.
  
  
  METHODS
  We present a 49-year-old man who had increasing difficulty swallowing, advanced respiratory distress and weight loss, as well as a hypopharyngeal mass protruding from his mouth.
  
  
  RESULTS
  Diagnosis was confirmed by endoscopic examination and computed tomography. A tracheostomy was required due to laryngeal obstruction by the regurgitated mass. The giant polyp was removed via per-oral endoscopic excision under general anaesthesia.
  
  
  CONCLUSIONS
  Fibrovascular polyps occur most commonly in the cervical oesophagus, and are extremely rare in the hypopharynx. They can grow to a very large size over several years. We discuss the symptoms, diagnosis and surgical treatment techniques for upper aerodigestive tract fibrovascular polyps, in the light of the literature.
authors: Department of Otolaryngology-Head and Neck Surgery, Cukurova University School of Medicine, Adana, Turkey. drsozdemir@gmail.com
authors: S
authors: S
authors: Ozdemir
authors: O
authors: O
authors: Gorgulu
authors: T
authors: T
authors: Selcuk
authors: Y
authors: Y
authors: Akbas
authors: C
authors: C
authors: Sayar
authors: H
authors: H
authors: Sayar
mesh_terms: D058109:Airway Management / Q000379:methods; D000402:Airway Obstruction / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D003680:Deglutition Disorders / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D003937:Diagnosis, Differential; D004724:Endoscopy; D004938:Esophageal Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011127:Polyps / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D035583:Rare Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D014139:Tracheostomy; D015431:Weight Loss