Abstract
A 31-year-old Brazilian man was admitted to our hospital because of dysphagia. Upper gastrointestinal endoscopy revealed a giant intraluminal tumor covered with normal esophageal epithelium. CT demonstrated that a giant tumor had occupied from the cervical esophagus to the lower thoracic esophagus, and the pedicle of the tumor originated from the cervical esophagus. A 3D-CT demonstrated that a branch of the bilateral superior thyroidal arteries was a feeder of the tumor. A diagnosis of a giant fibrovascular polyp was made and an operation was performed. Through a left cervical approach, a longitudinal esophagotomy, 6 cm in length, was performed, and the entire polyp was removed through the esophagotomy. The tumor measured 27 cm in length. Pathologically, it was diagnosed as a benign fibrovascular polyp composed of a mixture of adipose tissue, fibrous tissue and vascular structures. No recurrence has occurred, as of 6 months after the operation. This tumor in this patient was the largest in the domestic reports so far. Cervical approach is considered as a proper surgical treatment even for such a giant fibrovascular polyp.
