- Heterogenous group of soft tissue tumours
- Fibromas, fibrolipomas, myomas, and lipomas
- Contain a mixture of fibrous, vascular, and adipose tissue covered by squamous epithelium
- Risk
- Men 75%
- 60-70’s
- Clinical
- Location
- Cylindrical or elongated with stalk
- 85% found cervical oesophagus or by cricopharyngeus
- Presentation
- Mostly asymptomatic until very large
- Giant ones can cause severe dysphagia
- Can also prolapse into hypopharynx (causing airway obstruction!)
- Location
- Management
- Most can be resected endoscopically
- EUS prior to resection ?feeding vessel
- Endoscopic resection can be technically difficult when the stalk is attached to the proximal esophagus. Surgical resection may be required if a large feeding vessel is present or if the base of the stalk is endoscopically inaccessible.
Intraoperative view of an esophageal fibrovascular polyp before resection.
