Chourmouzi Danai, Drevelegas Antonios
Department of Diagnostic Radiology, Interbalcan Medical Center, Panorama, Thessaloniki, Greece.
J Med Case Rep. 2008 Oct 28;2:337. doi: 10.1186/1752-1947-2-337.
We present a case of fibrovascular polyp, a rare submucosal tumour of the oesophagus that has been reported only sporadically in the literature. The biapproach for surgical removal of fibrovascular polyp has only been mentioned once in the literature.
A 65-year-old Greek man presented with a 9-month history of gradually progressive intermittent dysphagia. Radiologic work-up with oesophagogram and computed tomography revealed a large, sausage-shaped intraluminal polyp extending from the level of the cervical oesophagus to the level of the upper body of the stomach. The diagnosis of giant fibrovascular polyp was made radiographically and confirmed by endoscopic biopsy. The polyp was removed using a biapproach surgical technique: pharyngotomy and subsequent gastrostomy.
Fibrovascular polyp is a rare submucosal tumour. Proper treatment depends on accurate assessment of the origin, size, and vascularity of the pedicle and the size of the tumour. Choice of the appropriate surgical approach depends on the correct diagnosis, which can usually be indicated radiographically by the presence of a smooth, sausage-shaped defect with a discrete bulbous tip.
我们报告一例纤维血管性息肉病例，这是一种罕见的食管黏膜下肿瘤，文献中仅有零星报道。关于手术切除纤维血管性息肉的双入路方法在文献中仅被提及过一次。
一名65岁的希腊男性，有9个月逐渐进展的间歇性吞咽困难病史。食管造影和计算机断层扫描的影像学检查显示，一个巨大的腊肠形腔内息肉，从颈段食管延伸至胃体上部。通过影像学诊断为巨大纤维血管性息肉，并经内镜活检证实。采用双入路手术技术切除息肉：咽切开术及随后的胃造口术。
纤维血管性息肉是一种罕见的黏膜下肿瘤。恰当的治疗取决于对蒂部的起源、大小、血管情况以及肿瘤大小的准确评估。选择合适的手术入路取决于正确的诊断，通常通过影像学检查发现光滑的腊肠形缺损及离散的球根状尖端来提示。
