Esophagus
Benign tumors
Fibrovascular polyp

Author: Elliot Weisenberg, M.D. (see Authors page)

Revised: 18 January 2018, last major update January 2013

Copyright: (c) 2003-2018, PathologyOutlines.com, Inc.

PubMed Search: Fibrovascular polyp esophagus[TIAB]

Cite this page: Weisenberg, E. Fibrovascular polyp. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/esophagusfibrovascularpolyp.html. Accessed February 19th, 2018.
Definition / general
  • Uncommon submucosal tumor (1 - 2% of benign esophageal tumors) that arises in upper esophagus from cricopharyngeal region; may be due to redundant folds that get pulled down by force of swallowing
  • Also called fibroma, fibrolipoma, fibromyxoma, lipoma, giant fibrovascular polyp
  • May actually be an acquired malformation or hamartoma
  • Lesion is unique to esophagus
Clinical features
  • Presents with slowly worsening dysphagia or weight loss of ~10 kg
  • Benign but may cause death from asphyxia secondary to laryngeal obstruction or be regurgitated into oral cavity
  • Age 45+ years, no definite gender preference (AJR Am J Roentgenol 1996;166:781)
Case reports
Treatment
Clinical images

Images hosted on other servers:

Endoscopy images

Gross description
  • Soft, elongated, pedunculated mass up to 20 cm with narrow point of attachment; overlying mucosa may be ulcerated; cut surface is yellowish tan, edematous
Gross images

Images hosted on PathOut server:

Giant tumor is
mobilized through
esophagotomy
incision



Images hosted on other servers:

Yellow tumor with smooth surface

Core is composed of fibrous and adipose tissue

Giant polyp causing asphyxiation

Various images

Microscopic (histologic) description
  • Squamous epithelial lining with frequent ulceration; core of mature fibromyxoid tissue with scattered thin walled blood vessels and variable adipose tissue; also stromal edema and occasional lymphocytic infiltrate; may have prominent mast cells
Microscopic (histologic) images

Images hosted on PathOut server:

Adipocytes form lobules of different sizes

Myxoid area contains spindle cells and vessels



Images hosted on other servers:

Core contains fibroadipose tissue

Figures 2 - 6

Various images (figures 8 - 10)

Differential diagnosis