Hemangioma of the cervical esophagus: A rare case of dysphagia mimicking a large esophageal polyp on endoscopy Juan A. Santamaria-Barria, MD, Farzaneh.

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Presentation transcript:

Hemangioma of the cervical esophagus: A rare case of dysphagia mimicking a large esophageal polyp on endoscopy Juan A. Santamaria-Barria, MD, Farzaneh Banki, MD, Suresh Rajendran, MD, Craig Floyd, MD The Journal of Thoracic and Cardiovascular Surgery Volume 152, Issue 3, Pages e59-e61 (September 2016) DOI: 10.1016/j.jtcvs.2016.04.050 Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Videoesophagram showing an oval mass arising from the cervical esophageal wall with pool of barium above the esophageal mass (arrow). B, Neck computed tomographic axial views showing a 2.5-cm mass arising from the cervical esophageal wall. C, Neck computed tomographic coronal views showing a 2.5-cm mass (arrow) arising from the cervical esophageal wall. The Journal of Thoracic and Cardiovascular Surgery 2016 152, e59-e61DOI: (10.1016/j.jtcvs.2016.04.050) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Endoscopic view showing a nearly obstructing cervical esophageal submucosal mass extending from 15 cm to 18 cm from the incisors with a long stalk, mimicking a large esophageal polyp. The Journal of Thoracic and Cardiovascular Surgery 2016 152, e59-e61DOI: (10.1016/j.jtcvs.2016.04.050) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 A, Intraoperative image of the mass, which is separated from the muscular layer and is still attached to the mucosa. H, Head; Ma, mass; Mu, esophageal mucosa; S, sternal notch. B, A well-circumscribed, tan-purple soft mass, 2.4 cm in greatest dimension, with the cut surface spongy and hemorrhagic. C, Microscopic section with hematoxylin and eosin stain with magnification 40× demonstrates a benign vascular tumor composed of dilated vessels with thickened walls (B) surrounded by a fibrous capsule (A). The vascular spaces are filled with red blood cells (C), consistent with cavernous hemangioma. There is no cytologic atypia. The Journal of Thoracic and Cardiovascular Surgery 2016 152, e59-e61DOI: (10.1016/j.jtcvs.2016.04.050) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Endoscopic view showing a nearly obstructing cervical esophageal submucosal mass. The Journal of Thoracic and Cardiovascular Surgery 2016 152, e59-e61DOI: (10.1016/j.jtcvs.2016.04.050) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions