Li Jie, Yu Hua, Pu Renfu, Lu Zhongsheng
Department of Chest Surgery The General Hospital of The People's Liberation Army Beijing China.
Department of Chest Surgery The General Hospital of The People's Liberation Army Beijing China; Department of Chest Surgery The 251 Hospital of the People's Liberation Army Zhangjiakou Hebei Province China.
Thorac Cancer. 2016 Apr 26;7(3):363-6. doi: 10.1111/1759-7714.12319. Epub 2016 Mar 1.
Giant polyps in the esophagus are rarely occurring benign tumors and may contain lipomas, fibrovascular polyps, fibrolipomas or neurofibromas polyps. Clinical symptoms include dysphagia, vomiting, retrosternal pain, shortness of breath, and asthma. In some cases, the polyps are regurgitated into the oral cavity and represent a spectacular manifestation. The reported case in this study was of a 50-year-old man who complained of emesia for half a year and dysphagia for one month before being hospitalized. Occasionally, a fleshly mass reached into his mouth. The results of endoscopic ultrasonography, barium swallow in the upper digestive tract, and a computed tomography scan demonstrated a giant polyp in the esophagus, which was subsequently removed by gastroscopy. Pathological examination determined a fibrovascular polyp.
食管巨大息肉是罕见的良性肿瘤,可能包含脂肪瘤、纤维血管性息肉、纤维脂肪瘤或神经纤维瘤性息肉。临床症状包括吞咽困难、呕吐、胸骨后疼痛、呼吸急促和哮喘。在某些情况下,息肉会反流至口腔,这是一种惊人的表现。本研究报告的病例是一名50岁男性,入院前半年主诉呕吐,1个月来有吞咽困难。偶尔有一个肉质肿物伸到他嘴里。内镜超声、上消化道吞钡造影及计算机断层扫描结果显示食管有一个巨大息肉,随后通过胃镜将其切除。病理检查确定为纤维血管性息肉。