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Giant fibrovascular polyp in the hypopharynx: a case report and review of the literature

INTRODUCTION: Fibrovascular polyps (FVPs) are benign tumors that commonly occur in the cervical esophagus. Few cases of FVPs of the hypopharynx have been reported, but there has been no English review concerning hypopharyngeal FVPs (hFVPs). Here, we report a case of a vast hFVP, and we also review 1...

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Autores principales: Oka, Mineko, Ueha, Rumi, Nito, Takaharu, Yamasoba, Tatsuya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5005220/
https://www.ncbi.nlm.nih.gov/pubmed/27652019
http://dx.doi.org/10.1186/s40064-016-3144-y
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author Oka, Mineko
Ueha, Rumi
Nito, Takaharu
Yamasoba, Tatsuya
author_facet Oka, Mineko
Ueha, Rumi
Nito, Takaharu
Yamasoba, Tatsuya
author_sort Oka, Mineko
collection PubMed
description INTRODUCTION: Fibrovascular polyps (FVPs) are benign tumors that commonly occur in the cervical esophagus. Few cases of FVPs of the hypopharynx have been reported, but there has been no English review concerning hypopharyngeal FVPs (hFVPs). Here, we report a case of a vast hFVP, and we also review 13 hFVP cases found in the English literature (PubMed search) including our case. CASE DESCRIPTION: A 41-year-old man with respiratory distress and regurgitation of a mass was referred to our hospital. Endoscopic and radiographic evaluations were required for diagnosis. The tumor originated from the hypopharynx and covered almost the entire larynx, which caused the airway to narrow. An emergency surgical removal was performed under general anesthesia with orotracheal intubation, and the tumor was completely removed transorally using a laryngeal endoscope. Pathological examination revealed that the mass was a FVP. DISCUSSION AND EVALUATION: We investigated patient characteristics, symptoms, polyp size, treatments, and recurrence of 13 hFVP cases. Regurgitation of a mass, dyspnea, and dysphagia were frequently reported symptoms at presentation. All patients were treated by surgical excision with no recurrence. Airway management is critical and tracheotomies were needed in some cases. CONCLUSIONS: FVPs are often asymptomatic, and they can suddenly cause respiratory distress from laryngeal blockage. Therefore, we emphasize that when such cases are encountered, airway management and surgical treatment should be considered as early as possible.
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spelling pubmed-50052202016-09-20 Giant fibrovascular polyp in the hypopharynx: a case report and review of the literature Oka, Mineko Ueha, Rumi Nito, Takaharu Yamasoba, Tatsuya Springerplus Case Study INTRODUCTION: Fibrovascular polyps (FVPs) are benign tumors that commonly occur in the cervical esophagus. Few cases of FVPs of the hypopharynx have been reported, but there has been no English review concerning hypopharyngeal FVPs (hFVPs). Here, we report a case of a vast hFVP, and we also review 13 hFVP cases found in the English literature (PubMed search) including our case. CASE DESCRIPTION: A 41-year-old man with respiratory distress and regurgitation of a mass was referred to our hospital. Endoscopic and radiographic evaluations were required for diagnosis. The tumor originated from the hypopharynx and covered almost the entire larynx, which caused the airway to narrow. An emergency surgical removal was performed under general anesthesia with orotracheal intubation, and the tumor was completely removed transorally using a laryngeal endoscope. Pathological examination revealed that the mass was a FVP. DISCUSSION AND EVALUATION: We investigated patient characteristics, symptoms, polyp size, treatments, and recurrence of 13 hFVP cases. Regurgitation of a mass, dyspnea, and dysphagia were frequently reported symptoms at presentation. All patients were treated by surgical excision with no recurrence. Airway management is critical and tracheotomies were needed in some cases. CONCLUSIONS: FVPs are often asymptomatic, and they can suddenly cause respiratory distress from laryngeal blockage. Therefore, we emphasize that when such cases are encountered, airway management and surgical treatment should be considered as early as possible. Springer International Publishing 2016-08-30 /pmc/articles/PMC5005220/ /pubmed/27652019 http://dx.doi.org/10.1186/s40064-016-3144-y Text en © The Author(s) 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Case Study
Oka, Mineko
Ueha, Rumi
Nito, Takaharu
Yamasoba, Tatsuya
Giant fibrovascular polyp in the hypopharynx: a case report and review of the literature
title Giant fibrovascular polyp in the hypopharynx: a case report and review of the literature
title_full Giant fibrovascular polyp in the hypopharynx: a case report and review of the literature
title_fullStr Giant fibrovascular polyp in the hypopharynx: a case report and review of the literature
title_full_unstemmed Giant fibrovascular polyp in the hypopharynx: a case report and review of the literature
title_short Giant fibrovascular polyp in the hypopharynx: a case report and review of the literature
title_sort giant fibrovascular polyp in the hypopharynx: a case report and review of the literature
topic Case Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5005220/
https://www.ncbi.nlm.nih.gov/pubmed/27652019
http://dx.doi.org/10.1186/s40064-016-3144-y
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