Inflammatory fibroid polyp of the oesophagus
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Open Access
Case report
Inflammatory fibroid polyp of the oesophagus Shashi Kanth Godey1 and Robert T Diggory*2 Address: 1New Cross Hospital, Wolverhampton, UK and 2Princess Royal Hospital, Telford, UK Email: Shashi Kanth Godey - [email protected]; Robert T Diggory* - [email protected] * Corresponding author
Published: 30 May 2005 World Journal of Surgical Oncology 2005, 3:30 30
doi:10.1186/1477-7819-3-
Received: 02 February 2005 Accepted: 30 May 2005
This article is available from: http://www.wjso.com/content/3/1/30 © 2005 Godey and Diggory; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract Background: Inflammatory fibroid polyp of the oesophagus is an uncommon lesion and very rarely it grows rapidly. Case presentation: We present the case of a patient with a rapidly growing inflammatory fibroid polyp (IFP) of the oesophagus, which showed up within five months after a normal endoscopy. Conclusion: The treatment of IFP is by surgical excision, either open or endoscopic. Laser or other form of ablative treatment like thermo cautery can also be tried.
Background Inflammatory fibroid polyp (IFP) is a benign, nonmetastasing tumour of the digestive tract. It has been described to occur commonly in the stomach and intestines. Cases have been reported in rectum [1], duodenum [2] and oesophagus, though rare. It is a slowly growing tumour unlike this case which had rapidly grown in a period of five months. The usual presentation is either with dyspeptic or obstructive symptoms. The treatment is usually confined to local excision of the lesion either endoscopically or by an open procedure. The details of the clinical presentation, histopathological findings and therapeutic choices are discussed.
Case presentation A 76-year-old man presented with epigastric pain and dysphagia. Endoscopy revealed grade 1 oesophagitis with a normal stomach and duodenum. Five months later he was readmitted with anorexia, weight loss, dysphagia and anaemia. Endoscopy on this occasion revealed a large pedunculated polypoidal lesion arising from the gastrooesophageal junction within a hiatus hernia. Pathological
examination of biopsies taken from the polyp showed inflammatory changes in squamous mucosa with no evidence of malignancy. As the lesion was pedunculated it was decided to attempt endoscopic snare excision which proved unsuccessful, as the lesion was too large for the snare. At laparotomy a large polypoidal mass was found arising from the distal oesophagus. Through a gastrostomy the lesion was delivered into the abdomen, a linear stapler was applied to the base of the stalk and the lesion was excised. The patient made an uneventful recovery. The resected specimen (figure 1) measured 9 cm × 4 cm × 4 cm and consisted of soft and slimy tissue. Histology showed an intact squ
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