title: Giant fibrovascular polyp of the esophagus-imaging techniques for proper treatment planning: report of two cases.
abstract: Giant fibrovascular polyps of the esophagus are rare, benign mesenchymal intraluminal lesions that arise from the cervical esophagus and can reach a very large size. Surgical excision is the treatment of choice, since endoscopic removal alone is not always feasible due to the presence of a very much vascularized stalk in most cases. We present two archetypal cases emphasizing the fact that these lesions can grow to huge masses with various and bizarre clinical presentation and they can arise (although rarely) at the level of the hypopharynx. We also aim to point out the role of imaging in defining the exact origin and characteristics of the stalk (width, vascularization) and the polyp structure (tissue components), thus providing useful information for planning the most appropriate surgical approach.
authors.affiliation: Diagnostic and Interventional Radiology, University of Pisa, Italy.
authors.forename: Paola
authors.initials: P
authors.lastname: Vagli
authors.forename: Biagio
authors.initials: B
authors.lastname: Solito
authors.forename: Emanuele
authors.initials: E
authors.lastname: Neri
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Faggioni
authors.forename: Rossella
authors.initials: R
authors.lastname: Scandiffio
authors.forename: Annalisa
authors.initials: A
authors.lastname: Mantarro
authors.forename: Stefano
authors.initials: S
authors.lastname: Santi
authors.forename: Piero
authors.initials: P
authors.lastname: Boraschi
authors.forename: Carlo
authors.initials: C
authors.lastname: Bartolozzi
mesh_terms: D000369:Aged, 80 and over; D002086:Butylscopolammonium Bromide; D057510:Endovascular Procedures; D004935:Esophageal Diseases / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D004945:Esophagoscopy; D005260:Female; D006801:Humans; D008875:Middle Aged; D061330:Multidetector Computed Tomography; D018727:Muscarinic Antagonists; D011127:Polyps / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery
chemical_list: D018727:Muscarinic Antagonists; D002086:Butylscopolammonium Bromide