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Giant fibrovascular polyp of the hypopharynx: per-oral endoscopic removal

Published online by Cambridge University Press:  19 May 2011

S Ozdemir ,
O Gorgulu ,
T Selcuk ,
Y Akbas ,
C Sayar  and
H Sayar
S Ozdemir*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Cukurova University School of Medicine, Adana, Turkey
O Gorgulu
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Adana Numune Education and Research Hospital, Adana, Turkey
T Selcuk
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Adana Numune Education and Research Hospital, Adana, Turkey
Y Akbas
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Adana Galeria ENT Hospital, Adana, Turkey
C Sayar
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Adana Numune Education and Research Hospital, Adana, Turkey
H Sayar
Affiliation:
Department of Pathology, Adana Numune Education and Research Hospital, Adana, Turkey
*
Address for correspondence: Dr Suleyman Ozdemir, Department of Otolaryngology-Head and Neck Surgery, Cukurova University School of Medicine, Balcali, Adana 01100, Turkey Fax: +90 322 3386639 E-mail: [email protected]
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Abstract

Objective:

We report an extremely rare case of giant fibrovascular polyp of the hypopharynx.

Method:

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.

Conclusion:

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.

Keywords

Solitary Fibrous TumoursHypopharynxDysphagiaSurgery, EndoscopicDigestive System
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 10 , October 2011 , pp. 1087 - 1090
Copyright
Copyright © JLO (1984) Limited 2011

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References

1Zevallos, JP, Shah, RP, Baredes, S. Giant fibrovascular polyp of the hypopharynx. Laryngoscope 2005;115:876–8CrossRefGoogle ScholarPubMed
2Attah, EB, Hajdu, SI. Benign and malignant tumors of the esophagus at autopsy. J Thorac Cardiovasc Surg 1968;55:396–404CrossRefGoogle ScholarPubMed
3Owens, JJ, Donovan, DT, Alford, EL, McKechnie, JC, Franklin, DJ, Stewart, MG et al. Life-threatening presentations of fibrovascular esophageal and hypopharyngeal polyps. Ann Otol Rhinol Laryngol 1994;103:838–42Google ScholarPubMed
4Petry, JJ, Shapshay, S. Squamous cell carcinoma in an esophageal polyp. Arch Otolaryngol 1981;107:192–3Google Scholar
5Watson-Williams, E. Specimen: polypus of the oesophagus which caused fatal tracheal obstruction. J Laryngol Otol 1935;50:922–3Google Scholar
6Whitman, GJ, Borkowski, GP. Giant fibrovascular polyp of the esophagus. CT and MR findings. AJR Am J Roentgenol 1989;152:518–20CrossRefGoogle ScholarPubMed
7Borges, A, Bikhazi, H, Wensel, JP. Giant fibrovascular polyp of the oropharynx. AJNR Am J Neuroradiol 1999;20:1979–82Google ScholarPubMed
8Eberlein, TJ, Hannan, R, Josa, M, Sugarbaker, DJ. Benign schwannoma of the esophagus presenting as a giant fibrovascular polyp. Ann Thorac Surg 1992;53:343–5CrossRefGoogle ScholarPubMed
9Nuyens, MR, Bhatti, NI, Flint, P. Multiple synchronous fibrovascular polyps of the hypopharynx. ORL J Otorhinolaryngol Relat Spec 2004;66:341–4CrossRefGoogle ScholarPubMed
10Eliashar, R, Saah, D, Sichel, JY, Elidan, J. Fibrovascular polyp of the esophagus. Otolaryngol Head Neck Surg 1998;118:734–5Google ScholarPubMed
11Pham, AM, Rees, CJ, Belafsky, PC. Endoscopic removal of a giant fibrovascular polyp of the esophagus. Ann Otol Rhinol Laryngol 2008;117:587–90CrossRefGoogle ScholarPubMed