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Giant hamartoma of the oropharynx

Published online by Cambridge University Press:  29 June 2007

D. J. Santana-Hernandez ,
S. R. Ell ,
P. Da Costa ,
C. P. Macklin  and
S. S. M. Hussain
D. J. Santana-Hernandez*
Affiliation:
Department of Otolaryngology, The General Infirmary at Leeds, Leeds, UK.
S. R. Ell
Affiliation:
Department of Otolaryngology, The General Infirmary at Leeds, Leeds, UK.
P. Da Costa
Affiliation:
Department of Histopathology, The General Infirmary at Leeds, Leeds,UK.
C. P. Macklin
Affiliation:
Department of General Surgery, The General Infirmary at Leeds, Leeds, UK.
S. S. M. Hussain
Affiliation:
Department of Otolaryngology, The General Infirmary at Leeds, Leeds, UK.
*
Address for correspondence: Dr D. J. Santana-Hernandez, Department of Otolaryngology, City Hospital, Greenbank Drive, Edinburgh, EH10 5SB.
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Abstract

Giant polypoidal hamartomas of the pharynx and oesophagus are rare benign tumours of unknown origin, exceptionally arising from the oropharynx. We report the case of a 74-year-old man who developed sudden nausea and a foreign body sensation. Shortly afterwards he regurgitated a 25 × 3 × 1.5 cm pedunculated fleshy mass, still attached to the inside of his throat. The patient was anaesthetised, the mass traced to the right tonsillar fossa and adjacent oropharyngeal wall. The pedicle was clamped and the lesion excised. Histology was consistent with a giant oropharyngeal hamartoma. We discuss the pathogenesis and potential complications of this condition. The literature is reviewed.

Keywords

OropharynxHamartoma
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 5 , May 1996 , pp. 480 - 482
Copyright
Copyright © JLO (1984) Limited 1996

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References

Abu Shara, K. A., Al-Muhana, A. A., Al-Shennawy, M. (1991) Hamartomatous tonsillar polyp. Journal of Laryngology and Otology 105: 1089–1090.CrossRefGoogle Scholar
Alberti-Flor, J. J., Dunn, G. D., Karl, M., Halter, S., Krueger, T. C. (1986) Large hypopharyngeal polyp producing intermittent dysphagia and acute airway obstruction. American Journal of Gastroenterology 81: 721–723.Google ScholarPubMed
Albrecht, E. (1904) Uber Hamartome. Deutschen Pathologischen Gesellschaft 7: 153–157.Google Scholar
Baarsma, E. A. (1979) Juvenile fibrous hamartoma of the pharynx. Journal of Laryngology and Otology 93: 75–79.CrossRefGoogle ScholarPubMed
Cochet, B., Hohl, P., Sans, M., Cox, J. N. (1980) Asphyxia caused by laryngaeal impaction of an oesophageal polyp. Archives of Otolaryngology 106: 176–178.CrossRefGoogle Scholar
Fuller, A. P. (1963) Pedunculated hamartoma of the oesophagus. Journal of Laryngology 77: 706–713.CrossRefGoogle ScholarPubMed
Giusan, A. O. (1992) Two cases of fibrous polyps of palatine tonsils. Vestnik Otorinolaryngologii 2: 42.Google Scholar
Italia, C., Chasseur, D. (1982) A case of fibrous lymphangiectatic polyp of the palatine tonsil. Annali dell Ospedale Maria Vittoria di Torino 24: 326–332.Google ScholarPubMed
Jang, G. C., Clouse, M. E., Fleischner, F. G. (1969) Fibrovascular polyp, a benign intraluminal tumour of the esophagus. Radiology 92: 1196–1200.CrossRefGoogle Scholar
Le Jeune, F. E. L. (1955) Benign pedunculated tumours. Report of case. Annals of Otology, Rhinology and Laryngology 64: 1261–1269.CrossRefGoogle Scholar
Lewis, B. S., Waye, J. D., Khilnani, M. T., Biller, H. F. (1988) Fibrovascular polyp of the esophagus. Mount Sinai Journal of Medicine 55: 324–325.Google ScholarPubMed
Lupovitch, A., Salama, D., Batmanghelichi, O. (1993). Benign hamartomatous polyp of the palatine tonsil. Journal of Laryngology and Otology 107: 1073–1075.CrossRefGoogle ScholarPubMed
Owens, J. J., Donovan, D. T., Alford, E. L., McKechnie, J. C., Franklin, D. J., Stewart, M. G., Schwartz, M. R. (1994) Lifethreatening presentations of fibrovascular esophageal and hypopharyngeal polyps. Annals of Otology, Rhinology and Laryngology 103: 838–942.Google ScholarPubMed
Patterson, H. C., Dickerson, G. R., Plich Ben, Z., Bentkover, S. H. (1981). Hamartoma of the hypopharynx. Archives of Otolaryngology 107: 767–772.CrossRefGoogle ScholarPubMed
Pyun, K. S., Friedman, S. I. (1985) Papillary lymphoid polyp of the palatine tonsil. ENT Journal 64: 243–245.Google ScholarPubMed
Siddins, M., Cade, R. (1991) Fibrovascular polyp of the oesophagus. Australian and New Zealand Journal of Surgery 61: 237–240.CrossRefGoogle ScholarPubMed
Stout, A. P., Lattes, R. (1957) Tumours of the Esophagus. Atlas of tumour pathology. Washington DC: Armed Forces Institute of Pathology. Sec V, fasc.20:25–32.Google Scholar
Walter, J. B., Israel, M. S. (1987) General Pathology. Churchill Livingstone, Edinburgh, p 376.Google Scholar
Walters, N. A., Coral, A. (1988) Fibrovascular polyp of the oesophagus: the appearances on computed tomography. British Journal of Radiology 61: 641–643.CrossRefGoogle ScholarPubMed
Watson-Williams, E. (1935) Polypus of the oesophagus which caused fatal tracheal obstruction. Journal of Laryngology and Otology 50: 922–923.Google Scholar