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Fibrovascular Polyp of the Esophagus

Fibrovascular Polyp of the Esophagus▶ Watch on YouTube — age-restricted, cannot embed here

Imaging findings

She has a mass in the region of her esophagus that looks like it's in the esophagus and there's areas that are fat. As you go further down there's more areas that are kind of mixed soft tissue. It expands the esophagus and extends from the thoracic inlet all the way down almost to the level of her left atrium, so it's a pretty elongated mass with different elements.

Key takeaways

She is an otherwise healthy 61-year-old nurse who had violent coughing up near asphyxiation. She noticed a large mass in the back of her throat and was able to forcefully reduce it back in her esophagus to regain her breathing capacity. This is a very rare tumor thought to arise from stromal elements in the cervical esophagus. Over the course of years, they elongate and continue to get larger, extending down the esophagus. A stalk is typically found near the cricopharyngeal region, which was found and allowed for removal.

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