Lobo Niyati, Hall Andrew, Weir Justin, Mace Alasdair
Department of ENT, Imperial College Healthcare NHS Trust, London, UK.
Department of Pathology, Imperial College Healthcare NHS Trust, London, UK.
BMJ Case Rep. 2016 Jan 14;2016:bcr2015214158. doi: 10.1136/bcr-2015-214158.
Giant fibrovascular polyps of the oesophagus are rare benign tumours originating from the upper oesophagus. A 58-year-old woman presented with a 6-week history of a sore throat, odynophagia and progressive dysphagia, managing only a soft diet. CT of the neck and thorax, and barium swallow, both demonstrated a giant fibrovascular polyp measuring approximately 7 cm in length arising from the proximal oesophagus. The patient underwent endoscopic resection of the polyp with the assistance of ultrasonic shears. We present the case of a giant fibrovascular polyp and describe our novel technique for successful endoscopic resection using ultrasonic shears.
食管巨大纤维血管性息肉是起源于食管上段的罕见良性肿瘤。一名58岁女性,有6周的咽痛、吞咽痛和进行性吞咽困难病史,仅能进食软食。颈部和胸部CT以及吞钡检查均显示,一个长约7厘米的巨大纤维血管性息肉起源于食管近端。患者在超声刀辅助下接受了息肉内镜切除术。我们报告了一例巨大纤维血管性息肉病例,并描述了使用超声刀成功进行内镜切除的新技术。