下咽食管纤维血管性息肉

Hypopharyngeal and esophageal fibrovascular polyp

目的:探讨下咽食管纤维血管性息肉(FVP)的发病原因、临床表现、诊断和治疗方法。方法:4例FVP患者全部行手术治疗,1例经颈外入路切除肿物,其余3例于支撑喉镜下切除肿物。结果:术后病理提示肿物被覆鳞状上皮,其内有脂肪,纤维结缔组织,部分有黏液样变,符合错构瘤。患者无并发症发生,随访3个月无复发。结论:FVP是一种良性肿瘤,手术切除是最常用的治疗手段。通过局部切除可以治愈,复发比较少见。

Objective： To review the clinical features, diagnosis and the treatment of fibrobascular polyp （FVP）. Method： Four patients diagnosed as FVP underwent surgery. One polyp was removed with open approach while the other three polyps were excised with laryngoscope. Result：The pathology shows polypoid lesion covered by squamous epithelium. The underlying stroma consisted of a mixture of fibrous connective tissue with fatty cells （adipose tissue）, part of the tumor was mucoid degenerated. No complications happened. The patients have been followed up for three months without reoccurrence. Conclusion： FVP is a benign tumor, surgical excision is recom- mended. Local excision is curative and reoccurrence is rare.