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Ann Thorac Surg 2006;81:393-396
© 2006 The Society of Thoracic Surgeons

Review

Large Pedunculated Polyps Originating in the Esophagus and Hypopharynx

Manuel Caceres, MD a , * , Glen Steeb, MD b , Sarah M. Wilks, MS b , H. Edward Garrett, Jr, MD a

a Department of Cardiothoracic Surgery, University of Tennessee, Memphis, Tennessee
b Department of Surgery, Louisiana State University Medical Center, New Orleans, Louisiana

* Address correspondence to Dr Caceres, 6029 Walnut Grove Road, Suite 401, Memphis, TN 38120 (Email: caceres_manuel{at}hotmail.com).

Large pedunculated esophageal and hypopharyngeal polyps are uncommon. Clinical presentation most commonly includes dysphagia and mass regurgitation. If left untreated the patient may develop polyp aspiration complicated by fatal asphyxiation. Diagnosis has depended on endoscopy and barium swallow historically; however, these procedures may fail to provide a diagnosis. In recent years computerized tomographic scan and magnetic resonance imaging have proved reliable methods of diagnosis. These polyps are located predominantly in the upper esophagus and frequently are comprised of a fibrous component. Malignant potential is low. Resection of these lesions is warranted; it may be approached endoscopically if feasible or surgically through a cervical or thoracotomy approach, depending on the location. Recurrence is rare. To our knowledge, this is the largest review of large esophageal polyps, including 110 reported cases in the literature.




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