Giant fibrovascular polyp of the esophagus: a case report.

Fibrovascular polyp of the esophagus is a rare and benign pedunculated intraluminal tumor. Microscopically the tumor consists of varying amount of vascular fibrous and adipose tissue that arises in the submucosa and is covered by squamous epithelium (1-5). Grossly the tumor is usually lobulated or club-like in shape , butthe stalk is often comparatively thin (6). Because surgical removal (cervical esophagotomy rather than thoracotomy even in patient with a large tumor) is the treatment of choice (6) , exact determination of the site of pedicular attachment is importantto the surgeons for planning the surgical approach. However , demonstration of pedicle is difficult and has been sometimes impossible on esophagogram even when the true nature of the lesion was known to the examiner beforehand (1-6). Cross sectional image modalities may be useful in the detection ofthe site of pedicular attachment. In this case report , we illustrate the typical radiographic , CT, and MR findings of a large fibrovascular p이yp of the esophagus, emphasizing the role of cross-sectional images in the detection of the pedicle ofthe tumor.