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Giant esophageal polyp: a clinical and radiological entity with variable histology
Authors:A. Z. Ginai  B. C. Halfhide  J. Dees  P. E. Zondervan  A. I. J. Klooswijk  P. P. M. Knegt
Affiliation:(1) Department of Radiology, University Hospital Dijkzigt and Erasmus University, Dr. Molewaterplein 40, NL-3015 GD Rotterdam, The Netherlands, NL;(2) Department of Internal Medicine, University Hospital Dijkzigt and Erasmus University, Dr. Molewaterplein 40, NL-3015 GD Rotterdam, The Netherlands, NL;(3) Department of Pathology, University Hospital Dijkzigt and Erasmus University, Dr. Molewaterplein 40, NL-3015 GD Rotterdam, The Netherlands, NL;(4) Department of Otolaryngology, University Hospital Dijkzigt and Erasmus University, Dr. Molewaterplein 40, NL-3015 GD Rotterdam, The Netherlands, NL
Abstract:Giant pedunculated esophageal polyps are very rare. They may stay asymptomatic for a long time, and first come to the attention of the patient and the clinician after regurgitation into the mouth. Regurgitation, however, can be dangerous and has been known to lead to asphyxia and death due to closure of the larynx by the polyp mass. For this reason resection of the giant polyp is essential when it is discovered. We have seen four cases of giant esophageal polyps (GEP) at our institution. All four patients have undergone removal of the giant polyps. The histological diagnoses were fibrovascular polyp, liposarcoma, hamartoma and multiple lipomas. The mode of clinical presentation, radiological appearances, variable histological diagnoses, and therapy options in these four patients are presented along with a review of the literature. Received 4 March 1997; Revision received 13 June 1997; Accepted 15 July 1997
Keywords:: Esophagus  Esophageal tumor  Giant esophageal polyp  Fibrovascular polyp  Liposarcoma  Lipoma  Hamartoma
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