title: Presenting symptoms of giant fibrovascular polyp of the oesophagus: case report and literature review.
abstract: BACKGROUND
  Lipomas of the gastrointestinal tract are rare, slow-growing lesions that comprise 0.4% of all gastrointestinal neoplasms. They can cause dysphagia, dyspnoea or sudden choking.
  
  
  METHODS
  Due to rarity of this condition and its uncommon presentation, a literature review was carried out (PubMed). This search revealed 290 articles, of which 74 were considered pertinent and were evaluated. We report a case of a 13cm pedunculated oesophageal lipoma that presented with increasing dysphagia and two episodes of suffocation. The patient underwent curative resection through a cervical approach.
  
  
  CONCLUSIONS
  Resection is recommended for large (>5 cm) or symptomatic polyps. Outcomes are excellent given that lesions are universally benign and oesophageal resection is not required.
authors.affiliation: Fondazione IRCCS, Istituto Nazionale dei Tumori , Milan , Italy.
authors.forename: S
authors.initials: S
authors.lastname: Sestini
authors.affiliation: Fondazione IRCCS, Istituto Nazionale dei Tumori , Milan , Italy.
authors.forename: M
authors.initials: M
authors.lastname: Gisabella
authors.affiliation: Fondazione IRCCS, Istituto Nazionale dei Tumori , Milan , Italy.
authors.forename: U
authors.initials: U
authors.lastname: Pastorino
authors.affiliation: Thoracic Surgery at Guys Hospital , UK.
authors.forename: A
authors.initials: A
authors.lastname: Billé
mesh_terms: D000368:Aged; D001237:Asphyxia / Q000209:etiology; D003680:Deglutition Disorders / Q000209:etiology; D004938:Esophageal Neoplasms; D004947:Esophagus / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008067:Lipoma; D008297:Male; D011127:Polyps
keywords: Dysphagia; Oesophageal polyp; Resection; Suffocation