Haytoglu Suheyl, Tuhanioglu Birgul, Bozkurttan Abdurrahman, Arikan Osman Kursat
Adana Numune Training and Research Hospital, ENT Clinics, 01260 Adana, Turkey.
Case Rep Otolaryngol. 2015;2015:670302. doi: 10.1155/2015/670302. Epub 2015 Nov 30.
Fibrovascular polyps occur most commonly in the cervical esophagus and are extremely rare in the hypopharynx. In this paper, we report a case of fibrovascular polyp of a 52-year-old female, who presented with progressive dysphagia and weight loss and regurgitating a mass from her mouth. By the endoscopic examination, a polyp covered by normal mucosa with a wide stalk was detected at the hypopharynx. The pedicle of the mass was identified under general anesthesia and the 13 × 3 × 2 cm mass was completely resected perorally. Histopathological examination of the tumor showed oedematous subepithelial fibrous stroma, surrounded by squamous epithelium and containing many congested vascular structures. No recurrence was detected over one year of follow-up. This case highlights the need for clinicians to be aware of this rare entity and to develop the best approach to patient management.
纤维血管性息肉最常发生于颈段食管，在下咽极为罕见。本文报告一例52岁女性的纤维血管性息肉病例，该患者表现为进行性吞咽困难、体重减轻，且从口中反流肿物。经内镜检查，在下咽发现一个被正常黏膜覆盖、带广基的息肉。在全身麻醉下确定肿物蒂部，经口完整切除了这个13×3×2厘米的肿物。肿瘤组织病理学检查显示上皮下纤维间质水肿，周围为鳞状上皮，含有许多充血的血管结构。随访一年未发现复发。该病例强调临床医生需要了解这种罕见疾病，并制定最佳的患者管理方法。
