Fibrovascular polyp

John Barlow

Research output: Chapter in Book/Report/Conference proceedingChapter


Imaging description Fibrovascular polyps are intraluminal masses that demonstrate mixed attenuation by CT. These pedunculated masses are usually smooth and sausage-shaped (Figure 35.1). They typically arise from the cervical esophagus. They extend inferiorly into the thoracic esophagus and can measure up to 25 cm in length. The diameter of a fibrovascular polyp is usually much greater than the diameter of the esophagus; consequently, these polyps distend the esophagus. Sometimes a longitudinal artery is demonstrated in the center of the polyp by CT with intravenous contrast material [1]. Esophagram confirms an intraluminal mass (Figure 35.2). Importance Fibrovascular polyps are rare, benign masses consisting of variable amounts of fibrous, vascular, and adipose tissue covered by normal squamous epithelium [2]. Imaging identification of fibrovascular polyps is important since up to 25% of these polyps are missed at endoscopy because they are covered with normal squamous epithelium [3]. Excision of fibrovascular polyps solves two significant problems: (1) progressive dysphagia and (2) the risk of airway obstruction and asphyxiation caused by regurgitation of the polyp into the pharynx [4]. Fibrovascular polyps do not undergo malignant degeneration.

Original languageEnglish (US)
Title of host publicationPearls and Pitfalls in Thoracic Imaging
Subtitle of host publicationVariants and Other Difficult Diagnoses
PublisherCambridge University Press
Number of pages2
ISBN (Electronic)9780511977701
ISBN (Print)9780521119078
StatePublished - Jan 1 2011

ASJC Scopus subject areas

  • General Medicine


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