Department of Gastroenterology, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China.
J Int Med Res. 2021 Aug;49(8):3000605211039801. doi: 10.1177/03000605211039801.
Esophageal fibrovascular polyp is rare in esophageal neoplasms and usually very large. Here, we present a case of giant esophageal fibrovascular polyp. The patient had dysphagia and choking sensation at presentation. She underwent positron emission-computed tomography (PET-CT), endoscopy, endoscopic ultrasonography, and fine needle aspiration. She was clinically diagnosed as having an esophageal benign tumor and underwent endoscopic submucosal dissection. The polyp was successfully resected; however, the process was very difficult, and the lesion was too large to pass through the upper esophagus. Finally, we removed the lesion surgically. Fibrovascular polyps are often large, and if endoscopic resection is chosen, it is necessary to consider the difficulties that may be encountered during resection, before initiating treatment.
食管纤维血管性息肉在食管肿瘤中较为罕见，通常体积较大。在此，我们报告一例巨大食管纤维血管性息肉。该患者以吞咽困难和哽噎感就诊。行正电子发射型计算机断层显像（PET-CT）、内镜、内镜超声和细针抽吸检查。临床诊断为食管良性肿瘤，行内镜黏膜下剥离术。息肉成功切除，但过程非常困难，且病变太大无法通过食管上段。最终，我们行手术切除。纤维血管性息肉通常较大，如果选择内镜切除，在开始治疗前需要考虑切除过程中可能遇到的困难。
