This journal is
indexed in Scopus
Year 2016 Vol. 24 No 1
A.V. MIKHEEV1, S.N. TRUSHIN1, E.K.SUROV2, S.V. SNEGUR2
FIBROVASCULAR POLYP OF THE ESOPHAGUS
SBEE HPE "Ryazan State Medical University named after I.P.Pavlov"1,
SBE of Ryazan region "Regional Clinical Hospital"2,
The Russian Federation
Fibrovascular polyps are rare, benign, and intraluminal tumors submucosal tumor-like lesions of the proximal esophagus. Fibrovascular polyps account for only 0,5–1% of all benign esophageal tumors. Polyps of a large size are thought to be extremely dangerous due to known risk of obstruction of the respiratory tract and asphyxiation. The removal of these lesions is usually recommended because of the progressive complications of oesophagus. As for correct surgical approach, the accurate assesment of the origin, size, and vascularity of the pedicle and the size of the tumor mass is essial for the proper treatment. Surgical, rather than endoscopic removal, is the treatment of choice. In the article a case of giant fibrovascular polyp of the cervical part of esophagus is presented in 72-yr-old-men, accompanied by specific clinical manifestations: intermitting dysphagia and efforts to regurgitate. Visual examination and fibroesophagoscopy demonstrated the giant fibrovascular polyp (more than 10 cm long) in the proximal esophagus. X-ray investigation of the esophagus with barium sulfate studies failed to demonstrate a proximal pedicle. The fibrovascular polyp due to the presence of thick pedicle could not be removed via endoscopy. A cervical vertical oesophagostomy with the fibrovascular polyp resection appears to be the approach of choice. No any cases of recurrence after radical surgery according to the available literature has been reported.
It is important to make algorhymth of differential diagnostics taking into account the esophageal fibrovascular polyp in patients with dysphagia, vomiting, regurgitation and weight loss inspite of its rarity.
- Palanivelu C, Rangarajan M, John SJ, Annapoorni S, Senthilkumar S. A rare cause of intermittent dysphagia: giant fibrovascular polyp of the proximal esophagus. J Coll Physicians Surg Pak. 2007 Jan;17(1):51-52.
- Karpov DV, Kaminskii IuD, Grigor'ev AV, Karpova LI, Vinogradov II. Faktory prognoza i ikh vliianie na rezul'taty lecheniia raka pishchevoda [Prognostic factors and its influence on the results of treatment of esophageal cancer]. Nauka molodykh – Eruditio Juvenium. 2013;(2):39-52.
- Chourmouzi D, Drevelegas A. Giant fibrovascular polyp of the esophagus: a case report and review of the literature. J Med Case Rep. 2008; 2: 337. doi: 10.1186/1752-1947-2-337.
- Madeira F, Justo J, Wietzycoski C, Burttet L, Kruel C, Da Rosa A. Giant fibrovascular polyp of the esophagus: a diagnostic challenge. Arq Bras Cir Dig. 2013; 26(1): 71-73.
- Drenth JPH, Wobbes T, Bonenkamp JJ, Nagengast FM. Recurrent esophageal fibrovascular polyps case history and review of the literature. Dig Dis Sci. 2002 Nov; 47 (Is 11):2598-604.
- Kanaan S, DeMeester TR. Fibrovascular polyp of the esophagus requiring esophagectomy. Dis Esophagus. 2007;20(5):453-54.
390026, Russian Federation,
Ryazan, ul. Vyisokovoltnaya, d. 9,
GBOU VPO "Ryazanskiy gosudarstvennyiy meditsinskiy universitet",
kafedra fakultetskoy khirurgii s kursom anesteziologii i reanimatologii,
tel. office: 7 (4912) 36-72-84,
Mikheev Aleksey Vladimirovich
Trushin S.N. MD, professor, a head of the faculty surgery chair with the courses of anesthesiology and reanimatology of SBEE HPE ''Ryazan State Medical University named after I.P.Pavlov''.
Mikheev A.V. PhD, an associate professor of the faculty surgery chair with the courses of anesthesiology and reanimatology of SBEE HPE ''Ryazan State Medical University named after I.P.Pavlov''
Surov E.K., Head of the thoracic surgery department of SBE of Ryazan region'' Regional Clinical Hospital''.
Snegur S.V. A pathologist of SBE of Ryazan region ''Regional Clinical Hospital''.