Giant Fibrovascular Polyp of the Larynx

Introduction  Fibrovascular polyps (FVPs) are rare benign tumors originating in the cervical esophagus, and, rarely, in the hypopharynx. A case of FVP from the larynx has not yet been described in the literature. Objectives  To discuss a unique case of FVP originating in the larynx. Resumed Report  A 58-year-old woman presented with a 6-month history of progressive dysphagia. Endoscopic exams identified an elongated polypoid lesion originating from the mucosa of the epiglottis and the right pharyngoepiglottic fold. Excision of this mass under direct laryngoscopy revealed an 11.5 × 0.8-cm polypoid lesion, histologically diagnosed as an FVP. Conclusion  The location of this FVP is important because, despite being a benign tumor, it carries a potentially lethal risk of upper airway obstruction.

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Bibliographic Details
Main Authors: Nascimento,Silva Bona do, Santos,Flávio Carvalho, Pinheiro,Mariana de Novaes Santos Magalhães
Format: Digital revista
Language:Portuguese
Published: Fundação Otorrinolaringologia 2014
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642014000300325
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Description
Summary:Introduction  Fibrovascular polyps (FVPs) are rare benign tumors originating in the cervical esophagus, and, rarely, in the hypopharynx. A case of FVP from the larynx has not yet been described in the literature. Objectives  To discuss a unique case of FVP originating in the larynx. Resumed Report  A 58-year-old woman presented with a 6-month history of progressive dysphagia. Endoscopic exams identified an elongated polypoid lesion originating from the mucosa of the epiglottis and the right pharyngoepiglottic fold. Excision of this mass under direct laryngoscopy revealed an 11.5 × 0.8-cm polypoid lesion, histologically diagnosed as an FVP. Conclusion  The location of this FVP is important because, despite being a benign tumor, it carries a potentially lethal risk of upper airway obstruction.