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2 results

  • Giant fibrovascular polyp of the hypopharynx: per-oral endoscopic removal

  • S Ozdemir, O Gorgulu, T Selcuk, Y Akbas, C Sayar, H Sayar
  • Journal:
    The Journal of Laryngology & Otology / Volume 125 / Issue 10 / October 2011
    Published online by Cambridge University Press:
    19 May 2011, pp. 1087-1090
    Print publication:
    October 2011
  • Objective:

    We report an extremely rare case of giant fibrovascular polyp of the hypopharynx.

    Method:

    We present a 49-year-old man who had increasing difficulty swallowing, advanced respiratory distress and weight loss, as well as a hypopharyngeal mass protruding from his mouth.

    Results:

    Diagnosis was confirmed by endoscopic examination and computed tomography. A tracheostomy was required due to laryngeal obstruction by the regurgitated mass. The giant polyp was removed via per-oral endoscopic excision under general anaesthesia.

    Conclusion:

    Fibrovascular polyps occur most commonly in the cervical oesophagus, and are extremely rare in the hypopharynx. They can grow to a very large size over several years. We discuss the symptoms, diagnosis and surgical treatment techniques for upper aerodigestive tract fibrovascular polyps, in the light of the literature.

  • Solitary fibrous tumour of the thyroid gland

  • N. S. Deshmukh, D. C. Mangham, A. T. Warfield, J. C. Watkinson
  • Journal:
    The Journal of Laryngology & Otology / Volume 115 / Issue 11 / November 2001
    Published online by Cambridge University Press:
    08 March 2006, pp. 940-942
    Print publication:
    November 2001

  • Solitary fibrous tumours of the thyroid gland are rare; only five cases have been reported in the literature. Clinically, they present as a long-standing firm mass in the thyroid. Histologically, they show a range of appearances including so-called ‘patternless growth pattern’, spindle-cell morphology, alternating hypo- and hyper-cellular areas, keloid-like hyalinization and a prominent haemangiopericytoma – like architecture. The behaviour of extrathoracic solitary fibrous tumours is unpredictable and requires careful, long-term follow-up.