Palacios Fernando, Contardo Carlos, Guevara Jorge, Vera Augusto, Aguilar Luis, Huamán Manuel, Palomino Américo, Yabar Alejandro
Departamento de Enfermedades del Aparato Digestivo, Hospital Nacional-EsSalud, Lima, Perú.
Rev Gastroenterol Peru. 2003 Jul-Sep;23(3):213-6.
Fibrovascular polyps are extremely rare benign neoplasias of the esophagus, which usually originate in the lower cricoid area. They do not produce any discomfort in the patient for a long time, however it may make itself evident by the patient's regurgitation of the polyp, producing asphyxia or, more frequently, dysphagia. The case of a 58 year old male patient is presented herein, with a 9 month record of dysphagia, weight loss and intermittent melena. The barium x-ray showed a distended esophagus, with a tumor running from the upper esophageal sphincter to the cardia. The endoscopy confirmed the presence of a pediculated tumor, implanted in the cervical esophagus. Surgeons suspected the potential malignancy of the tumor and performed a transhiatal esophagectomy. The final pathologic diagnosis was giant fibrovascular esophageal polyp.
纤维血管性息肉是食管极为罕见的良性肿瘤,通常起源于环状软骨下区域。它们在很长一段时间内不会给患者带来任何不适,然而,息肉可能会从患者口中反流出来,导致窒息,或者更常见的是吞咽困难,从而使病情显现出来。本文介绍了一名58岁男性患者的病例,该患者有9个月的吞咽困难、体重减轻和间歇性黑便病史。钡餐X线检查显示食管扩张,有一个肿瘤从食管上括约肌延伸至贲门。内镜检查证实存在一个带蒂肿瘤,位于颈段食管。外科医生怀疑该肿瘤有潜在恶性,并进行了经裂孔食管切除术。最终病理诊断为巨大纤维血管性食管息肉。