Vagli Paola, Solito Biagio, Neri Emanuele, Faggioni Lorenzo, Scandiffio Rossella, Mantarro Annalisa, Santi Stefano, Boraschi Piero, Bartolozzi Carlo
Diagnostic and Interventional Radiology, University of Pisa, Italy.
Abdom Imaging. 2012 Aug;37(4):512-8. doi: 10.1007/s00261-011-9787-9.
Giant fibrovascular polyps of the esophagus are rare, benign mesenchymal intraluminal lesions that arise from the cervical esophagus and can reach a very large size. Surgical excision is the treatment of choice, since endoscopic removal alone is not always feasible due to the presence of a very much vascularized stalk in most cases. We present two archetypal cases emphasizing the fact that these lesions can grow to huge masses with various and bizarre clinical presentation and they can arise (although rarely) at the level of the hypopharynx. We also aim to point out the role of imaging in defining the exact origin and characteristics of the stalk (width, vascularization) and the polyp structure (tissue components), thus providing useful information for planning the most appropriate surgical approach.
食管巨大纤维血管性息肉是一种罕见的良性间质性腔内病变，起源于颈段食管，可长得非常大。手术切除是首选治疗方法，因为在大多数情况下，由于存在高度血管化的蒂，仅通过内镜切除并不总是可行的。我们展示了两个典型病例，强调了这些病变可生长为巨大肿物，伴有各种奇异的临床表现，并且它们可发生于（尽管很少见）下咽水平。我们还旨在指出影像学在确定蒂的确切起源和特征（宽度、血管化）以及息肉结构（组织成分）方面的作用，从而为规划最合适的手术方法提供有用信息。
