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Parvez K. Sultan
Bryan F. Meyers
G. Alexander Patterson
Joel D. Cooper
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J Thorac Cardiovasc Surg 2005;130:1709-1710
© 2005 The American Association for Thoracic Surgery

Brief Communications

Fibrovascular polyps of the esophagus

Parvez K. Sultan, MD, Bryan F. Meyers, MD, G. Alexander Patterson, MD, Joel D. Cooper, MD *

Division of Cardiothoracic Surgery, Washington University School of Medicine, St Louis, Mo

Received for publication September 30, 2004; revisions received May 15, 2005; accepted for publication May 18, 2005.

* Address for reprints: Joel D. Cooper, MD, Division of Cardiothoracic Surgery, 3108 Queeny Tower, One Barnes-Jewish Hospital Plaza, St Louis, MO 63110 (Email: joel.cooper@uphs.upenn.edu).

The first 20% of the full text of this article appears below.

Fibrovascular polyps are uncommon benign tumors of the esophagus. Synonyms include fibroma, fibrolipoma, pedunculated lipoma, and fibroepithelial polyp. Eighty percent arise just distal to the cricopharyngeus and can then progress to either an intramural or an intraluminal tumor, with some having both components. 1 Go We report the cases of 2 patients who underwent resections for both types of polyps.

Clinical Summary

PATIENT 1. A 38-year-old man had, in recent months, a cough and mild stridor. A chest computed tomographic scan revealed a posterior mediastinal mass, with displacement of the esophagus to the left. Endoscopy revealed an intramural mass and tracheal narrowing at the thoracic inlet. In 1988, a routine chest radiogram first indicated deviation of the trachea. A right transverse cervical incision ensued, and after identification of the recurrent nerve, a myotomy just below the cricopharyngeus revealed a glistening, cylindrical, white mass that extended 13 cm inferiorly. Through the cervical approach, . . . [Full Text of this Article]






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