PMC4334647_01
Barium esophagram demonstrating large filling defect in esophagus (arrow pointing to filling defect).
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Barium esophagram revealed an obstructive filling defect in the proximal esophagus (Fig. 1).
Axial CT imaging demonstrating giant esophageal mass obstructing lumen and compressing trachea.
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Tomography (CT) scan demonstrated a large lobulated mass occupying nearly the entire length of the thoracic esophagus with a focal mass effect on the left atrium and trachea (Fig. 2). There was no lymphadenopathy.
Intraoperative photograph showing extraction of giant inflammatory polyp from the esophagus through a left cervical incision.
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The patient underwent a left cervical exploration and cervical esophagotomy (Fig. 3).
Gross specimen of giant inflammatory polyp, largest dimension 12 cm.
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Macroscopically, the specimen measured 12.0 x 4.0 x 3.0 cm (Fig. 4).
Histological features of giant inflammatory polyp demonstrating mixture of large vascular structures, fibrous connective and myxoid tissue.
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Histological examination revealed vascularized fibrous stroma with patchy chronic inflammatory infiltrate with an overlying benign stratified squamous esophageal mucosa loose fibro-myxoid stroma with cytologically bland spindle cells, and scattered inflammatory cells (Fig. 5).