DOI QR코드

DOI QR Code

Less invasive transoral resection of esophageal fibrovascular polyps: case reports

  • Janusz Wlodarczyk (Department of Thoracic and Surgical Oncology, Jagiellonian University Collegium Medicum, John Paul II Hospital) ;
  • Tomasz Smeder (Department of Thoracic and Surgical Oncology, Jagiellonian University Collegium Medicum, John Paul II Hospital)
  • 투고 : 2021.05.04
  • 심사 : 2021.09.16
  • 발행 : 2022.09.30

초록

We report five patients treated for esophageal fibrovascular polyps using a minimally invasive technique. Esophageal fibrovascular polyps are benign pedunculated submucosal tumors of considerable size. The treated polyps size ranged from 1.5 to 13 cm. The polyps were removed by relocation to the oral cavity under endoscopic control. No perioperative complications occurred after the treatment. The follow-up of patients after surgery was 9-89 months, with no evidence of polyp recurrence. Thus, the described treatment is safe but requires experience with endoscopy as well as esophageal surgery.

키워드

과제정보

The patient provided informed consent and agreed to publication of the images.

참고문헌

  1. Jose P, Scott N, Sarela AI. Two-stage removal of giant fibrovascular polyp of the oesophagus. BMJ Case Rep 2010;2010:bcr0520103011.
  2. Alobid I, Vilaseca I, Fernandez J, et al. Giant fibrovascular polyp of the esophagus causing sudden dyspnea: endoscopic treatment. Laryngoscope 2007;117:944-945. https://doi.org/10.1097/MLG.0b013e318033310f
  3. Watanabe H, Jass JR, Sobin LH. Histological typing of oesophageal and gastric tumours: in collaboration with pathologists in 8 countries. 2nd ed. Berlin: Springer; 1990. p. 122.
  4. Graham RP, Yasir S, Fritchie KJ, et al. Polypoid fibroadipose tumors of the esophagus: "giant fibrovascular polyp" or liposarcoma? A clinicopathological and molecular cytogenetic study of 13 cases. Mod Pathol 2018;31:337-342. https://doi.org/10.1038/modpathol.2017.140
  5. I H, Kim JS, Shim YM. Giant fibrovascular polyp of the hypopharynx: surgical treatment with the biappoach. J Korean Med Sci 2006;21:749-751. https://doi.org/10.3346/jkms.2006.21.4.749
  6. Pham AM, Rees CJ, Belafsky PC. Endoscopic removal of a giant fibrovascular polyp of the esophagus. Ann Otol Rhinol Laryngol 2008;117:587-590. https://doi.org/10.1177/000348940811700806
  7. Ward MA, Beard KW, Teitelbaum EN, et al. Endoscopic resection of giant fibrovascular esophageal polyps. Surg Endosc 2018;32:1066-1067. https://doi.org/10.1007/s00464-017-5664-0
  8. Li J, Yu H, Pu R, et al. Gastroscopic removal of a giant fibrovascular polyp from the esophagus. Thorac Cancer 2016;7:363-366. https://doi.org/10.1111/1759-7714.12319
  9. Cockbain AJ, England R, Dexter SPL, et al. Surveillance is important after surgical excision of giant fibrovascular polyps of the esophagus. Ann Thorac Surg 2017;104:e341-e343. https://doi.org/10.1016/j.athoracsur.2017.05.049
  10. Quijano Y, Ferri V, Duran H, et al. Recurrent giant fibrovascualr oesophageal polyp: benefits and pitfalls of a multimodal approach. Int J Surg Case Rep 2021;83:105935.