Fibrovascular Polyp

Published on 20/07/2015 by admin

Filed under Radiology

Last modified 20/07/2015

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 Originates within esophageal wall but presents as intraluminal polyp or mass

IMAGING

• Fluoroscopic-guided esophagography

image Smooth, expansile, sausage-shaped, and intraluminal
image Cervical esophageal mass, extending distally to fill esophageal lumen
• CT: Varied density based on content

image Fat density: Abundance of adipose tissue
image Heterogeneous: Mixture of fat, soft tissue

TOP DIFFERENTIAL DIAGNOSES

• Esophageal carcinoma

image May present as large, polypoid intraluminal mass
image Margins are irregular and more lobulated
• Esophageal intramural benign tumors

image Leiomyoma and lipoma
image 

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