J Korean Med Sci.  2006 Aug;21(4):749-751. 10.3346/jkms.2006.21.4.749.

Giant Fibrovascular Polyp of the Hypopharynx: Surgical Treatment with the Biappoach

• I H
• Kim JS
• Shim YM

• KMID: 2157833
• DOI: http://doi.org/10.3346/jkms.2006.21.4.749

Abstract

Fibrovascular polyps of the esophagus and hypopharynx are benign tumors of the upper digestive tract. The majority of these polyps are located in the upper part of the esophagus but the hypopharyngeal fibrovascular polyps are only rarely seen. Most of them are surgically treated and this is usually done through a cervical incision, although some of them have been removed endoscopically. The authors report here on a case of a 63-yr-old-man with a giant fibrovascular polyp of the hypopharynx that extended into the stomach; this polyp was removed through simultaneous transcervical and transabdominal approaches because of the huge size of the polyp. The man presented with progressive dysphagia of 1 yr duration. The preoperative assessment revealed a giant polyp arising from the left arytenoid and extending into the stomach. The dimension of the polyp was about 26 x10 x4 cm. The complete resection of the polyp with the simultaneous transcervical and transabdominal approaches was successful, and it was diagnosed as a fibrovascular polyp. The patient has been followed up without any recurrence for 6 month postoperatively.

Keyword

Polyps; Hypopharynx; Surgery

MeSH Terms

Treatment Outcome
Polyps/complications/*diagnosis/surgery
Pharyngeal Diseases/complications/*diagnosis/surgery
Middle Aged
Male
*Hypopharynx
Humans
Deglutition Disorders/etiology

Figure

• 

  Fig. 1 Sagittal view of a chest computed tomography scan of a 63-yr-old-man with a giant fibrovascular polyp. A soft tissue lesion (arrow) in the esophagus from the level of the cervical esophagus extends to the level of the upper body of the stomach. The exact location of the polyp's origin is obscure. The dimension of the head (arrowhead) is about 8×5 cm in size. The central portion of the lesion shows attenuation identical to that of subcutaneous fat.

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  Fig. 2 Esophagoscopic photograph at the level of the hypopharynx. The base of the stalk (arrowhead) originates from the left arytenoid (arrow). PPW, posterior pharyngeal wall.

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  Fig. 3 The gross appearance of the giant fibrovascular polyp. The dimension of the polyp is about 26×10×4 cm. The polyp is covered with mucous membrane similar to that of the esophagus.

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