Endoscopic Resection of a Giant Fibrovascular Esophageal Polyp by Use of a Scissor-type Knife Kenji Yamazaki 1 , Akinori Maruta 1 , Ryoji Kushima 2 , Yasuyuki Yoshida 1 , Noritaka Ozawa 1 , Takahito Shimada 1 , Kensaku Yoshida 1 , Soichi Iritani 1 , Junji Nagano 1 , Nobuhiro Ando 1 , Keisuke Iwata 1 , Shogo Shimizu 1 , Masaki Katayama 3 , Hitoshi Iwata 3 , Masahito Shimizu 4 1Department of Gastroenterology, Gifu Prefectural General Medical Center, Gifu, Japan 2Department of Clinical Laboratory Medicine and Diagnostic Pathology, Shiga University of Medical Science, Otsu, Japan 3Department of Diagnostic Pathology, Gifu Prefectural General Medical Center, Gifu, Japan 4Department of Gastroenterology, Gifu University School of Medicine, Gifu, Japan Keyword: fibrovascular polyp , 有茎性ポリープ , うろこ状外観 , 脂肪肉腫 , 内視鏡的切除 pp.333-339
Published Date 2020/3/25
DOI https://doi.org/10.11477/mf.1403201982
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 A woman in her 70s presented to the emergency department because of loss of consciousness. Her chest CT revealed a large intraluminal tumor arising from the proximal esophagus. Esophagogastroduodenoscopy revealed an approximately 10cm long intraluminal pedunculated polyp arising from the cervical esophagus with a scaly margin. We performed endoscopic resection with a scissor-shaped device under general anesthesia. We removed the polyp en bloc safely and effortlessly while maintaining a stable view using a single device. Histologic analysis identified it as a fibrovascular polyp. The scaly margin was considered to be a burn-like change caused by friction with the esophageal lumen and a rare macroscopic finding associated with giant esophageal fibrovascular polyp.

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