Presenting symptoms of giant fibrovascular polyp of the oesophagus: case report and literature review.

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Presenting symptoms of giant fibrovascular polyp of the oesophagus: case report and literature review.

Ann R Coll Surg Engl. 2016 May;98(5):e71-3

Authors: Sestini S, Gisabella M, Pastorino U, Billé A

Abstract
INTRODUCTION: Lipomas of the gastrointestinal tract are rare, slow-growing lesions that comprise 0.4% of all gastrointestinal neoplasms. They can cause dysphagia, dyspnoea or sudden choking.
CASE HISTORY: Due to rarity of this condition and its uncommon presentation, a literature review was carried out (PubMed). This search revealed 290 articles, of which 74 were considered pertinent and were evaluated. We report a case of a 13cm pedunculated oesophageal lipoma that presented with increasing dysphagia and two episodes of suffocation. The patient underwent curative resection through a cervical approach.
CONCLUSIONS: Resection is recommended for large (>5 cm) or symptomatic polyps. Outcomes are excellent given that lesions are universally benign and oesophageal resection is not required.

PMID: 27087340 [PubMed - indexed for MEDLINE]

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