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

1 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: /j.jtcvs Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

2 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  , e59-e61DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

3 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  , e59-e61DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

4 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  , e59-e61DOI: ( /j.jtcvs ) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

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

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