KjG The Korean Journal of Gastroenterology Korean J Gastroenterol 1598-9992 2233-6869 Korean Society of Gastroenterology 10.4166/kjg.2016.67.5.253 kjg-67-253 Case Report A Case of Giant Fibrovascular Polyp of the Esophagus, Treated Successfully by Endoscopic Resection LeeJong Wook KimGwang Ha KimJoong Keun ParkChul Hong SongByeong Gu ShinDong Hun HaDong Woo SongGeun Am Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea Correspondence to: Gwang Ha Kim, Department of Internal Medicine, Pusan National University Hospital, Pusan National University School of Medicine and Biomedical Research Institute, 179 Gudeok-ro, Seo-gu, Busan 49241, Korea. Tel: +82-51-240-7869, Fax: +82-51-244-8180, E-mail: doc0224@pusan.ac.kr 10 2016 04 10 2016 675 253 256 22022016 27032016 05042016 Copyright © 2016 Korean Ophthalmological Society 2016 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract

Fibrovascular polyps are rare benign intraluminal tumors that usually arise from the cervical esophagus. These often present as very large sized pedunculated polyps and cause symptoms including dysphagia and respiratory distress. Generally, large polyps are surgically excised, while endoscopic resection is limited to smaller polyps. Herein, we present a giant fibrovascular polyp of the esophagus treated successfully by endoscopic resection.

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Endoscopic and endosonographic findings. (A) An about 10 cm sized sausage-shaped pedunculated polyp arises from the cervical esophagus. (B) Endosonography shows a hyperechoic homogenous lesion with clear margin on the third layer of the esophagus.

Endoscopic resection and macroscopic findings. (A) Endoscopic resection is done with a polypectomy snare. (B) The resected specimen is 12.5×3.2×1.5 cm.

Histopathologic findings (H&E). (A) The polyp is covered with benign squamous epithelium. The core of the polyp is composed of loose fibrous tissues, adipose cells, and blood vessels (×100). (B) On high magnifying view, spindle cells set in collagenous matrix, scattered small blood vessels and inflammatory cells are seen (×400).